MA DOLORES A BACLAO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041283424

License Status

NOT RENEWED

Business

First Name

MA DOLORES A

Last Name

BACLAO

Business Name

MA DOLORES A BACLAO

Original Issue Date

08/22/1994

Effective Date

08/22/1994

Expiration Date

05/31/1998

City

GARY

State

Zip

46408

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006