LIESEL C DAMOTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041362514

License Status

NOT RENEWED

Business

First Name

LIESEL

Middle

Last Name

DAMOTA

Business Name

LIESEL C DAMOTA

Original Issue Date

08/16/2007

Effective Date

08/16/2007

Expiration Date

05/31/2008

City

PHOENIX

State

Zip

85014

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/11/2008