ANTHONY VELAZQUE MUNIZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059790

License Status

INACTIVE

Business

First Name

ANTHONY VELAZQUE

Last Name

MUNIZ

Business Name

ANTHONY VELAZQUE MUNIZ

Original Issue Date

10/02/1984

Expiration Date

01/31/1999

City

LAKE STATION

State

Zip

46405

County

INDIANA

Ever Disciplined

LastModifiedDate

05/27/2005