JOHANNES GROOT - Registered Nurse License in Arizona | # 041360138

JOHANNES GROOT

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041360138

License Status

INACTIVE

Business

N

First Name

JOHANNES

Last Name

GROOT

Business Name

JOHANNES GROOT

Original Issue Date

05/22/2007

Effective Date

03/09/2010

Expiration Date

05/31/2012

State

AZ

Ever Disciplined

N

LastModifiedDate

03/08/2012