MARISSA MIA BERNAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041332042

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

MIA

Last Name

BERNAL

Business Name

MARISSA MIA BERNAL

Original Issue Date

08/29/2002

Effective Date

08/29/2002

Expiration Date

05/31/2006

City

TEMPE

State

Zip

85282

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006