CONNIE L MCDONOUGH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010438

License Status

INACTIVE

Business

First Name

CONNIE

Middle

Last Name

MCDONOUGH

Business Name

CONNIE L MCDONOUGH

Original Issue Date

04/02/1962

Effective Date

12/14/2004

Expiration Date

01/31/2005

City

HAYWARD

State

Zip

54843

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/15/2005