VICKI L MASOLAK - Registered Nurse License in Indiana | # 041193709

VICKI L MASOLAK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193709

License Status

INACTIVE

Business

N

First Name

VICKI L

Last Name

MASOLAK

Business Name

VICKI L MASOLAK

Original Issue Date

11/08/1979

Effective Date

11/08/1979

Expiration Date

05/31/1994

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006