Wisconsin
Department of Safety and Professional Services
Bastian, Mark M
Nursing Home Administrator
License number
2526-65
Date granted
01/10/1991
Date expires
06/30/2006
Class
Nursing Home Administrator
Status
Expired
wisconsinlicensing.org
ID 13223670
LAST UPDATED 2024-02-20 08:47:07 UTC
LAST UPDATED 2024-02-20 08:47:07 UTC
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