KATHLEEN JO SOUKUP Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041118516

License Status

INACTIVE

Business

First Name

KATHLEEN JO

Last Name

SOUKUP

Business Name

KATHLEEN JO SOUKUP

Original Issue Date

09/01/1966

Effective Date

09/01/1966

Expiration Date

05/31/1988

City

LONGMONT

State

Zip

80501

County

COLORADO

Ever Disciplined

LastModifiedDate

09/27/2006