ETHEL M DOMITZ - Registered Nurse License in Maine | # 041152702

ETHEL M DOMITZ

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041152702

License Status

INACTIVE

Business

N

First Name

ETHEL M

Last Name

DOMITZ

Business Name

ETHEL M DOMITZ

Original Issue Date

12/14/1973

Effective Date

12/14/1973

State

ME

Ever Disciplined

N

LastModifiedDate

09/27/2006