MARIKO A LEACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041392351

License Status

NOT RENEWED

Business

First Name

MARIKO

Middle

Last Name

LEACH

Business Name

MARIKO A LEACH

Original Issue Date

05/06/2011

Effective Date

05/13/2014

Expiration Date

05/31/2016

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016