Antonia Johanna Clos
InactiveIllinois license 041201411
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041201411
- Status
- Inactive
- First issued
- May 19, 1981
- Expired
- May 31, 1988
- License holder
- Antonia Johanna Clos
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/19/1981
Contact
Lac Bu Flambeau, WI 54538
Wisconsin County