JACQUELINE A KEUTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158715

License Status

NOT RENEWED

Business

First Name

JACQUELINE A

Last Name

KEUTH

Business Name

JACQUELINE A KEUTH

Original Issue Date

12/12/1974

Effective Date

05/19/2008

Expiration Date

05/31/2010

City

PHOENIX

State

Zip

85044

County

ARIZONA

Ever Disciplined

LastModifiedDate

08/16/2010