DALE R SAMUELSON JONASSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171195

License Status

NOT RENEWED

Business

First Name

DALE R SAMUELSON

Last Name

JONASSON

Business Name

DALE R SAMUELSON JONASSON

Original Issue Date

11/01/1976

Effective Date

03/20/2012

Expiration Date

05/31/2014

City

MESA

State

Zip

85206

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/03/2014