DAISY MAE DECAMOTAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041451007

License Status

NOT RENEWED

Business

First Name

DAISY

Middle

MAE

Last Name

DECAMOTAN

Business Name

DAISY MAE DECAMOTAN

Original Issue Date

03/06/2017

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021