Michele Diane Massow

Nursing Board - Csr Prescriptive Authority

Indiana  71002178B   Active

This Indiana license is held by Michele Diane Massow. The license is currently active. It was granted on 06/16/2006 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71002178B
  • Category: CSR-Prescriptive Authority
  • Status: Active
  • Date Granted: 06/16/2006 (about 20 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

Southlake Ear, Nose,and Throat, 99 E. 86th Avenue, Merrillville IN 46410