MARY AZALE GOMEZ

Nursing Board - Csr Prescriptive Authority

Indiana  71000894B   Expired

This Indiana license was held by MARY AZALE GOMEZ. The license is no longer active. It was granted on 03/05/2002 and expired on 10/31/2007

LICENSE DETAILS

  • License Number: 71000894B
  • Category: CSR-Prescriptive Authority
  • Status: Expired
  • Date Granted: 03/05/2002 (over 24 years ago)
  • Expiry Date: 10/31/2007 (almost 19 years ago)

LOCATIONS

A Address

642 S Walker, Bloomington IN 47403