THOMAS JOHN BERTHOLD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196215

License Status

INACTIVE

Business

First Name

THOMAS JOHN

Last Name

BERTHOLD

Business Name

THOMAS JOHN BERTHOLD

Original Issue Date

08/06/1980

Effective Date

08/06/1980

Expiration Date

05/31/1984

City

MILWAUKEE

State

Zip

53222

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006