DEBRA M WAHLSTROM - Registered Nurse License in Indiana | # 041302171

DEBRA M WAHLSTROM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041302171

License Status

NOT RENEWED

Business

N

First Name

DEBRA M

Last Name

WAHLSTROM

Business Name

DEBRA M WAHLSTROM

Original Issue Date

03/13/1997

Effective Date

03/13/1997

Expiration Date

05/31/2004

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006