LAURENCE ALEXANDER VAN DYKE Registered Nurse License verification

Business Entity

Non Sufficient Fund Check Terminated

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153112

License Status

Non Sufficient Fund Check Terminated

Business

First Name

LAURENCE

Middle

ALEXANDER

Last Name

VAN DYKE

Business Name

LAURENCE ALEXANDER VAN DYKE

Original Issue Date

12/14/1973

Effective Date

12/14/1973

Expiration Date

05/31/2002

City

INDIANAPOLIS

State

Zip

46204

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006