COLLEEN KAE SHADE

Business Entity
NOT RENEWED

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041322325

NOT RENEWED

N

COLLEEN

KAE

SHADE

COLLEEN KAE SHADE

10/16/2000

03/04/2011

05/31/2012

LAKE MILLS

WI

53551

WISCONSIN

N

07/10/2012