ANN J MORTENSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032375

License Status

INACTIVE

Business

First Name

ANN J

Last Name

MORTENSEN

Business Name

ANN J MORTENSEN

Original Issue Date

12/13/1972

Expiration Date

01/31/1985

City

PORTAGE

State

Zip

53901

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005