MARY J DOMKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041177076

License Status

INACTIVE

Business

First Name

MARY J

Last Name

DOMKE

Business Name

MARY J DOMKE

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/1988

City

OGDEN DUNES

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006