MICHELLE DECAMOTAN SOMBILLA - Registered Nurse License in Indiana | # 041458246

MICHELLE DECAMOTAN SOMBILLA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041458246

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

DECAMOTAN

Last Name

SOMBILLA

Business Name

MICHELLE DECAMOTAN SOMBILLA

Original Issue Date

09/18/2017

Effective Date

05/13/2018

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021