ANNALISSA SUATOMBOC KO - Registered Nurse License in Pennsylvania | # 041410457

ANNALISSA SUATOMBOC KO

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041410457

License Status

NOT RENEWED

Business

N

First Name

ANNALISSA

Middle

SUATOMBOC

Last Name

KO

Business Name

ANNALISSA SUATOMBOC KO

Original Issue Date

05/10/2013

Effective Date

05/10/2013

Expiration Date

05/31/2014

State

PA

Ever Disciplined

N

LastModifiedDate

07/03/2014