THOMAS P HERZOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041099813

License Status

NOT RENEWED

Business

First Name

THOMAS P

Last Name

HERZOG

Business Name

THOMAS P HERZOG

Original Issue Date

04/25/1961

Effective Date

04/26/2010

Expiration Date

05/31/2012

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012