NIKKI M MIKUSAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117994

License Status

INACTIVE

Business

First Name

NIKKI M

Last Name

MIKUSAK

Business Name

NIKKI M MIKUSAK

Original Issue Date

08/03/1966

Effective Date

08/03/1966

Expiration Date

05/31/1984

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006