TINA PHYLLIS GIACCHETTI - Registered Nurse License in New Mexico | # 041116275

TINA PHYLLIS GIACCHETTI

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116275

License Status

INACTIVE

Business

N

First Name

TINA PHYLLIS

Last Name

GIACCHETTI

Business Name

TINA PHYLLIS GIACCHETTI

Original Issue Date

12/15/1965

Effective Date

12/15/1965

Expiration Date

05/31/2004

State

NM

Ever Disciplined

N

LastModifiedDate

10/09/2006