RUTH ANN VAN DOMMELEN - Registered Nurse License in Indiana | # 041123381

RUTH ANN VAN DOMMELEN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123381

License Status

INACTIVE

Business

N

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

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006