THERESA A SUROVEK - Registered Nurse License in Indiana | # 041116443

THERESA A SUROVEK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116443

License Status

INACTIVE

Business

N

First Name

THERESA A

Last Name

SUROVEK

Business Name

THERESA A SUROVEK

Original Issue Date

12/17/1965

Effective Date

12/17/1965

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006