MIRIAM DYKSTRA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145636

License Status

NOT RENEWED

Business

First Name

MIRIAM

Last Name

DYKSTRA

Business Name

MIRIAM DYKSTRA

Original Issue Date

11/02/1972

Effective Date

04/20/2010

Expiration Date

05/31/2012

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012