SUSAN MARIE STARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176811

License Status

INACTIVE

Business

First Name

SUSAN MARIE

Last Name

STARK

Business Name

SUSAN MARIE STARK

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/2000

City

SCOTTSDALE

State

Zip

85260

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/27/2006