ERIN P MICCICHE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041363084

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

MICCICHE

Business Name

ERIN P MICCICHE

Original Issue Date

08/29/2007

Effective Date

06/02/2014

Expiration Date

05/31/2016

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2016