ANDREA DALE MONICKEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041205510

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

DALE

Last Name

MONICKEN

Business Name

ANDREA DALE MONICKEN

Original Issue Date

10/08/1981

Effective Date

02/21/2019

Expiration Date

09/30/2020

City

BAYSIDE

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021