TIMOTHY PATRICK DETERS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083751

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

PATRICK

Last Name

DETERS

Business Name

TIMOTHY PATRICK DETERS

Original Issue Date

06/07/1999

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

BARABOO

State

Zip

53913

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/15/2005