THOMAS DANIEL MADOLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041323618

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

DANIEL

Last Name

MADOLE

Business Name

THOMAS DANIEL MADOLE

Original Issue Date

03/09/2001

Effective Date

08/31/2020

Expiration Date

08/31/2022

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2022