LYDIA F ETHRIDGE - Registered Nurse License in Indiana | # 043047919

LYDIA F ETHRIDGE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047919

License Status

INACTIVE

Business

N

First Name

LYDIA

Middle

F

Last Name

ETHRIDGE

Business Name

LYDIA F ETHRIDGE

Original Issue Date

01/07/1980

Effective Date

07/17/2017

Expiration Date

01/31/2019

State

IN

Ever Disciplined

N

LastModifiedDate

11/14/2018