MARIAN B FOSDAL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041133346

License Status

INACTIVE

Business

First Name

MARIAN B

Last Name

FOSDAL

Business Name

MARIAN B FOSDAL

Original Issue Date

10/09/1969

Effective Date

10/09/1969

Expiration Date

05/31/1984

City

INDIANAPOLIS

State

Zip

46254

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006