MA DOLORES A BACLAO - Registered Nurse License in Indiana | # 041283424

MA DOLORES A BACLAO

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041283424

License Status

NOT RENEWED

Business

N

First Name

MA DOLORES A

Last Name

BACLAO

Business Name

MA DOLORES A BACLAO

Original Issue Date

08/22/1994

Effective Date

08/22/1994

Expiration Date

05/31/1998

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006