ETHEL M DOMITZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041152702

License Status

INACTIVE

Business

First Name

ETHEL M

Last Name

DOMITZ

Business Name

ETHEL M DOMITZ

Original Issue Date

12/14/1973

Effective Date

12/14/1973

City

BROWNFIELD

State

Zip

04010

County

MAINE

Ever Disciplined

LastModifiedDate

09/27/2006