EVALENA H STORM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041055001

License Status

INACTIVE

Business

First Name

EVALENA H

Last Name

STORM

Business Name

EVALENA H STORM

Original Issue Date

12/11/1946

Effective Date

12/11/1946

Expiration Date

05/01/1982

City

PHOENIX

State

Zip

85008

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/27/2006