COLUMBIA M PETALCORIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041204972

License Status

INACTIVE

Business

First Name

COLUMBIA M

Last Name

PETALCORIN

Business Name

COLUMBIA M PETALCORIN

Original Issue Date

10/08/1981

Effective Date

10/08/1981

Expiration Date

05/01/1982

City

INDIANAPOLIS

State

Zip

46217

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006