LANE E POULIN - Registered Nurse License in Wisconsin | # 043075779

LANE E POULIN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075779

License Status

INACTIVE

Business

N

First Name

LANE E

Last Name

POULIN

Business Name

LANE E POULIN

Original Issue Date

06/29/1994

Expiration Date

01/31/1997

State

WI

Ever Disciplined

N

LastModifiedDate

10/21/2005