NameCAROL A NIEMCZURA
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
COA.02952-NM Certified Nurse MidWife 08/22/1997 06/29/2005 08/31/2007 DECEASED
CTP.02952-EX1 Prescriptive Authority - Externship 12/19/2005 12/19/2005 12/19/2006 DECEASED
RN.121338-1 Registered Nurse-1 Certificate of Authority 05/01/1972 06/29/2005 08/31/2007 DECEASED Examination

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