SR M ROSEANNE MUCKENSTUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041062088

License Status

NOT RENEWED

Business

First Name

SR M ROSEANNE

Last Name

MUCKENSTUM

Business Name

SR M ROSEANNE MUCKENSTUM

Original Issue Date

11/08/1948

Effective Date

11/08/1948

Expiration Date

05/31/1990

City

DONALDSON

State

Zip

46513

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006