CAROLYN A HERZOG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041073893

License Status

INACTIVE

Business

First Name

CAROLYN A

Last Name

HERZOG

Business Name

CAROLYN A HERZOG

Original Issue Date

12/26/1952

Effective Date

12/26/1952

Expiration Date

05/31/1990

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006