ETHELANN DIVITO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041100933

License Status

INACTIVE

Business

First Name

ETHELANN

Last Name

DIVITO

Business Name

ETHELANN DIVITO

Original Issue Date

11/10/1961

Effective Date

04/17/2012

Expiration Date

05/31/2014

City

FONTANA

State

Zip

53125

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/06/2014