THERESA R HAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210816

License Status

NOT RENEWED

Business

First Name

THERESA R

Last Name

HAM

Business Name

THERESA R HAM

Original Issue Date

09/23/1982

Effective Date

09/23/1982

Expiration Date

05/31/2006

City

PHOENIX

State

Zip

85053

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006