MARY JEANNINE BERTHOLD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044031

License Status

INACTIVE

Business

First Name

MARY JEANNINE

Last Name

BERTHOLD

Business Name

MARY JEANNINE BERTHOLD

Original Issue Date

03/09/1978

City

MADISON

State

Zip

53715

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005