MARCIA DIANNE CO SMALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146909

License Status

INACTIVE

Business

First Name

MARCIA DIANNE CO

Last Name

SMALL

Business Name

MARCIA DIANNE CO SMALL

Original Issue Date

12/14/1972

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

GREEN MOUNTAIN FALLS

State

Zip

80819

Ever Disciplined

LastModifiedDate

03/08/2020