ANTONIA JOHANNA CLOS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041201411

License Status

INACTIVE

Business

First Name

ANTONIA JOHANNA

Last Name

CLOS

Business Name

ANTONIA JOHANNA CLOS

Original Issue Date

05/19/1981

Effective Date

05/19/1981

Expiration Date

05/31/1988

City

LAC BU FLAMBEAU

State

Zip

54538

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006