MARY ANNE DOMRZALSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002232

License Status

NOT RENEWED

Business

First Name

MARY ANNE

Last Name

DOMRZALSKI

Business Name

MARY ANNE DOMRZALSKI

Original Issue Date

07/03/2001

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

FARMINGTON

State

Zip

87401

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

08/11/2010