JUDITH A HAENISCH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041098476

License Status

INACTIVE

Business

First Name

JUDITH A

Last Name

HAENISCH

Business Name

JUDITH A HAENISCH

Original Issue Date

12/14/1960

Effective Date

12/14/1960

Expiration Date

05/31/1992

City

LAKEVIEW

State

Zip

72642

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/27/2006