RUTH ANN VAN DOMMELEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123381

License Status

INACTIVE

Business

First Name

RUTH ANN

Last Name

VAN DOMMELEN

Business Name

RUTH ANN VAN DOMMELEN

Original Issue Date

10/02/1967

Effective Date

10/02/1967

Expiration Date

05/31/1992

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006