HERMINE A DODGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159711

License Status

NOT RENEWED

Business

First Name

HERMINE A

Last Name

DODGE

Business Name

HERMINE A DODGE

Original Issue Date

03/03/1975

Effective Date

03/03/1975

Expiration Date

05/01/1982

City

ADDIEVILLE

State

Zip

62214

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/27/2006