HAZEL J DOMSKI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041058987

License Status

NOT RENEWED

Business

First Name

HAZEL J

Last Name

DOMSKI

Business Name

HAZEL J DOMSKI

Original Issue Date

01/15/1948

Effective Date

01/15/1948

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006