THERESA A SUROVEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116443

License Status

INACTIVE

Business

First Name

THERESA A

Last Name

SUROVEK

Business Name

THERESA A SUROVEK

Original Issue Date

12/17/1965

Effective Date

12/17/1965

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006