SUSAN MARIE DOMINIK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174634

License Status

INACTIVE

Business

First Name

SUSAN MARIE

Last Name

DOMINIK

Business Name

SUSAN MARIE DOMINIK

Original Issue Date

07/07/1977

Effective Date

07/07/1977

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006