VICKIE SUE DOMMER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343737

License Status

NOT RENEWED

Business

First Name

VICKIE

Middle

SUE

Last Name

DOMMER

Business Name

VICKIE SUE DOMMER

Original Issue Date

11/18/2004

Effective Date

11/18/2004

Expiration Date

05/31/2006

City

CHESTERTON

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006