MICHAEL THOMAS LANGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117399

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

THOMAS

Last Name

LANGE

Business Name

MICHAEL THOMAS LANGE

Original Issue Date

08/22/2013

Effective Date

12/02/2016

Expiration Date

01/31/2019

City

ORFORDVILLE

State

Zip

53576

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/28/2019