DOUGLAS DALITZ - Registered Nurse License in Kentucky | # 041157926

DOUGLAS DALITZ

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157926

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Last Name

DALITZ

Business Name

DOUGLAS DALITZ

Original Issue Date

12/06/1974

Effective Date

12/06/1974

Expiration Date

05/01/1982

State

KY

Ever Disciplined

N

LastModifiedDate

09/27/2006