MICHAEL THOMAS LANGE - Registered Nurse License in Wisconsin | # 043117399

MICHAEL THOMAS LANGE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117399

License Status

NOT RENEWED

Business

N

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

State

WI

Ever Disciplined

N

LastModifiedDate

03/28/2019