CHARL MARIE GROOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041138011

License Status

INACTIVE

Business

First Name

CHARL MARIE

Last Name

GROOM

Business Name

CHARL MARIE GROOM

Original Issue Date

11/24/1970

Effective Date

11/24/1970

Expiration Date

05/31/1992

City

MADISON

State

Zip

33705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006