DOMINIQUE D THERIOT - Registered Nurse License in Virginia | # 043123974

DOMINIQUE D THERIOT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123974

License Status

NOT RENEWED

Business

N

First Name

DOMINIQUE

Middle

D

Last Name

THERIOT

Business Name

DOMINIQUE D THERIOT

Original Issue Date

04/21/2017

Effective Date

04/21/2017

Expiration Date

01/31/2019

State

VA

Ever Disciplined

N

LastModifiedDate

03/28/2019