GLEN RUSSELL FARKASH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041396512

License Status

NOT RENEWED

Business

First Name

GLEN

Middle

RUSSELL

Last Name

FARKASH

Business Name

GLEN RUSSELL FARKASH

Original Issue Date

09/06/2011

Effective Date

05/15/2014

Expiration Date

05/31/2016

City

PHOENIX

State

Zip

85024

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/11/2016