ULLA BRITT LACK - Registered Nurse License in Idaho | # 041203758

ULLA BRITT LACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203758

License Status

INACTIVE

Business

N

First Name

ULLA BRITT

Last Name

LACK

Business Name

ULLA BRITT LACK

Original Issue Date

09/16/1981

Effective Date

05/17/2010

Expiration Date

05/31/2012

State

ID

Ever Disciplined

N

LastModifiedDate

03/08/2012