BONNIE J FICTUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063582

License Status

NOT RENEWED

Business

First Name

BONNIE J

Last Name

FICTUM

Business Name

BONNIE J FICTUM

Original Issue Date

11/10/1986

Expiration Date

01/31/1989

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005