PHILOMENA LACKME WIRTH - Registered Nurse License in Ohio | # 041167456

PHILOMENA LACKME WIRTH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041167456

License Status

NOT RENEWED

Business

N

First Name

PHILOMENA LACKME

Last Name

WIRTH

Business Name

PHILOMENA LACKME WIRTH

Original Issue Date

05/11/1976

Effective Date

05/11/1976

State

OH

Ever Disciplined

N

LastModifiedDate

09/27/2006