BARBARA J DOMKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075101

License Status

INACTIVE

Business

First Name

BARBARA J

Last Name

DOMKE

Business Name

BARBARA J DOMKE

Original Issue Date

01/22/1994

Effective Date

12/30/2002

Expiration Date

01/31/2003

City

APACHE JUNCTION

State

Zip

85219

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/15/2005