SALLY A DEJONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145333

License Status

INACTIVE

Business

First Name

SALLY A

Last Name

DEJONG

Business Name

SALLY A DEJONG

Original Issue Date

11/02/1972

Effective Date

11/02/1972

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006