ANNE MIEDEMA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015755

License Status

INACTIVE

Business

First Name

ANNE

Last Name

MIEDEMA

Business Name

ANNE MIEDEMA

Original Issue Date

09/02/1966

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005