SR M ANTONILLA BARLAGE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109057

License Status

INACTIVE

Business

First Name

SR M

Middle

ANTONILLA

Last Name

BARLAGE

Business Name

SR M ANTONILLA BARLAGE

Original Issue Date

01/06/1964

Effective Date

01/06/1964

Expiration Date

05/31/2004

City

STEUBERVILLE

State

Zip

43952

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006