MARISSA MIA BERNAL - Registered Nurse License in Arizona | # 041332042

MARISSA MIA BERNAL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041332042

License Status

NOT RENEWED

Business

N

First Name

MARISSA

Middle

MIA

Last Name

BERNAL

Business Name

MARISSA MIA BERNAL

Original Issue Date

08/29/2002

Effective Date

08/29/2002

Expiration Date

05/31/2006

State

AZ

Ever Disciplined

N

LastModifiedDate

10/09/2006