LAURA E VAN FOSSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041389416

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

VAN FOSSEN

Business Name

LAURA E VAN FOSSEN

Original Issue Date

12/02/2010

Effective Date

03/21/2014

Expiration Date

05/31/2016

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016