DOUGLAS DEWITT HARRY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043050022

License Status

NOT RENEWED

Business

First Name

DOUGLAS DEWITT

Last Name

HARRY

Business Name

DOUGLAS DEWITT HARRY

Original Issue Date

11/17/1980

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

GARY

State

Zip

46403

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2005