AUDREA LEA MENA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108697

License Status

INACTIVE

Business

First Name

AUDREA LEA

Last Name

MENA

Business Name

AUDREA LEA MENA

Original Issue Date

12/06/1963

Effective Date

12/06/1963

Expiration Date

05/31/1988

City

PHOENIX

State

Zip

85023

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/27/2006