ELIZABETH MARY MODLIK - Registered Nurse License in Indiana | # 041173046

ELIZABETH MARY MODLIK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041173046

License Status

INACTIVE

Business

N

First Name

ELIZABETH MARY

Last Name

MODLIK

Business Name

ELIZABETH MARY MODLIK

Original Issue Date

04/07/1977

Effective Date

04/07/1977

Expiration Date

05/31/1998

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006