JERRIE LORAINE DOUSSARD - Registered Nurse License in Utah | # 041149676

JERRIE LORAINE DOUSSARD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149676

License Status

NOT RENEWED

Business

N

First Name

JERRIE LORAINE

Last Name

DOUSSARD

Business Name

JERRIE LORAINE DOUSSARD

Original Issue Date

10/03/1973

Effective Date

10/03/1973

Expiration Date

05/31/1984

State

UT

Ever Disciplined

N

LastModifiedDate

09/27/2006