SALLY K GORMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171939

License Status

NOT RENEWED

Business

First Name

SALLY K

Last Name

GORMAN

Business Name

SALLY K GORMAN

Original Issue Date

11/03/1976

Effective Date

05/05/2010

Expiration Date

05/31/2012

City

WAUKESHA

State

Zip

53189

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012