MAYOLA LARA VILLARRUEL

Nursing Board - Csr Prescriptive Authority

Indiana  71001100B   Expired

This Indiana license was held by MAYOLA LARA VILLARRUEL. The license is no longer active. It was granted on 03/23/2001 and expired on 10/31/2005

LICENSE DETAILS

  • License Number: 71001100B
  • Category: CSR-Prescriptive Authority
  • Status: Expired
  • Date Granted: 03/23/2001 (over 25 years ago)
  • Expiry Date: 10/31/2005 (almost 21 years ago)

LOCATIONS

A Address

ADAM BENJAMIN VA CLINIC, 9330 BROADWAY, Crown Point IN 46307