TERESA L DEROSE - Registered Nurse License in Utah | # 043019925

TERESA L DEROSE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019925

License Status

NOT RENEWED

Business

N

First Name

TERESA L

Last Name

DEROSE

Business Name

TERESA L DEROSE

Original Issue Date

06/22/1967

State

UT

Ever Disciplined

N

LastModifiedDate

10/21/2005