LIESEL C DAMOTA - Registered Nurse License in Arizona | # 041362514

LIESEL C DAMOTA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041362514

License Status

NOT RENEWED

Business

N

First Name

LIESEL

Middle

C

Last Name

DAMOTA

Business Name

LIESEL C DAMOTA

Original Issue Date

08/16/2007

Effective Date

08/16/2007

Expiration Date

05/31/2008

State

AZ

Ever Disciplined

N

LastModifiedDate

07/11/2008