COLUMBIA M PETALCORIN - Registered Nurse License in Indiana | # 041204972

COLUMBIA M PETALCORIN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041204972

License Status

INACTIVE

Business

N

First Name

COLUMBIA M

Last Name

PETALCORIN

Business Name

COLUMBIA M PETALCORIN

Original Issue Date

10/08/1981

Effective Date

10/08/1981

Expiration Date

05/01/1982

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006