HAZEL A POULSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041075592

License Status

INACTIVE

Business

First Name

HAZEL A

Last Name

POULSEN

Business Name

HAZEL A POULSEN

Original Issue Date

08/18/1953

Effective Date

08/18/1953

Expiration Date

05/31/2008

City

YORKTOWN

State

Zip

47396

County

INDIANA

Ever Disciplined

LastModifiedDate

03/11/2008