KIM A OTIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041367335

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

OTIS

Business Name

KIM A OTIS

Original Issue Date

04/10/2008

Effective Date

03/19/2010

Expiration Date

05/31/2012

City

PHOENIX

State

Zip

85027

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/10/2012