VICKIE SUE DOMMER - Registered Nurse License in Indiana | # 041343737

VICKIE SUE DOMMER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343737

License Status

NOT RENEWED

Business

N

First Name

VICKIE

Middle

SUE

Last Name

DOMMER

Business Name

VICKIE SUE DOMMER

Original Issue Date

11/18/2004

Effective Date

11/18/2004

Expiration Date

05/31/2006

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006