MARY ANNE DOMRZALSKI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041183676

License Status

NOT RENEWED

Business

First Name

MARY ANNE

Last Name

DOMRZALSKI

Business Name

MARY ANNE DOMRZALSKI

Original Issue Date

10/16/1978

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

FARMINGTON

State

Zip

87401

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

08/16/2010