MARIE A STALLSMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041100989

License Status

INACTIVE

Business

First Name

MARIE A

Last Name

STALLSMITH

Business Name

MARIE A STALLSMITH

Original Issue Date

11/10/1961

Effective Date

11/10/1961

Expiration Date

05/31/2006

City

BLACK CANYON CITY

State

Zip

85324

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006