GERSHOM J DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041436455

License Status

NOT RENEWED

Business

First Name

GERSHOM

Middle

Last Name

DOUGLAS

Business Name

GERSHOM J DOUGLAS

Original Issue Date

11/05/2015

Effective Date

11/05/2015

Expiration Date

05/31/2016

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016