IVY J DOME Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024423

License Status

NOT RENEWED

Business

First Name

IVY J

Last Name

DOME

Business Name

IVY J DOME

Original Issue Date

12/04/1968

City

GARY

State

Zip

46407

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005