ELIZABETH MARY MODLIK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041173046

License Status

INACTIVE

Business

First Name

ELIZABETH MARY

Last Name

MODLIK

Business Name

ELIZABETH MARY MODLIK

Original Issue Date

04/07/1977

Effective Date

04/07/1977

Expiration Date

05/31/1998

City

INDIANAPOLIS

State

Zip

46256

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006