DAWN R DAVICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043116143

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

DAVICH

Business Name

DAWN R DAVICH

Original Issue Date

12/04/2012

Effective Date

12/04/2012

Expiration Date

01/31/2015

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

03/09/2015