LANE E POULIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075779

License Status

INACTIVE

Business

First Name

LANE E

Last Name

POULIN

Business Name

LANE E POULIN

Original Issue Date

06/29/1994

Expiration Date

01/31/1997

City

GAYS MILLS

State

Zip

54631

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005