VIVIAN ETHELYN OTT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041273138

License Status

INACTIVE

Business

First Name

VIVIAN ETHELYN

Last Name

OTT

Business Name

VIVIAN ETHELYN OTT

Original Issue Date

04/01/1993

Effective Date

03/23/2024

Expiration Date

05/31/2026

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

03/02/2026