SUSAN MARIE DOMINIK - Registered Nurse License in Indiana | # 041174634

SUSAN MARIE DOMINIK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174634

License Status

INACTIVE

Business

N

First Name

SUSAN MARIE

Last Name

DOMINIK

Business Name

SUSAN MARIE DOMINIK

Original Issue Date

07/07/1977

Effective Date

07/07/1977

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006