ITA PANTILAT - Registered Nurse License in Washington | # 041211294

ITA PANTILAT

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041211294

License Status

INACTIVE

Business

N

First Name

ITA

Last Name

PANTILAT

Business Name

ITA PANTILAT

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/1984

State

WA

Ever Disciplined

N

LastModifiedDate

09/27/2006