BEVERLY L MIEDEMA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131978

License Status

INACTIVE

Business

First Name

BEVERLY L

Last Name

MIEDEMA

Business Name

BEVERLY L MIEDEMA

Original Issue Date

08/26/1969

Effective Date

08/26/1969

Expiration Date

05/31/1988

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006