TINA RENEE VACLAVIK - Registered Nurse License in Indiana | # 041340166

TINA RENEE VACLAVIK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340166

License Status

NOT RENEWED

Business

N

First Name

TINA

Middle

RENEE

Last Name

VACLAVIK

Business Name

TINA RENEE VACLAVIK

Original Issue Date

06/03/2004

Effective Date

06/03/2004

Expiration Date

05/31/2006

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006