ANDREA D MACKOWIAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041284079

License Status

NOT RENEWED

Business

First Name

ANDREA D

Last Name

MACKOWIAK

Business Name

ANDREA D MACKOWIAK

Original Issue Date

08/29/1994

Effective Date

08/29/1994

Expiration Date

05/31/1998

City

CLINTONVILLE

State

Zip

54929

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/12/2018

Case Number

2017010838

Action

Refuse To Renew

Discipline Start Date

11/26/2018

Discipline Reason

due to a sister state discipline in the state of Wisconsin admitted to a police officer that Respondent had diverted oxycodone from a patient.