IDA L HENTIG - Registered Nurse License in Indiana | # 043038465

IDA L HENTIG

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038465

License Status

INACTIVE

Business

N

First Name

IDA L

Last Name

HENTIG

Business Name

IDA L HENTIG

Original Issue Date

01/06/1976

Effective Date

12/06/2004

Expiration Date

01/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/15/2005