SUSSAN M OGUAMALAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041334348

License Status

NOT RENEWED

Business

First Name

SUSSAN

Middle

Last Name

OGUAMALAM

Business Name

SUSSAN M OGUAMALAM

Original Issue Date

03/11/2003

Effective Date

03/11/2003

Expiration Date

05/31/2004

City

PUEBLO

State

Zip

81004

County

COLORADO

Ever Disciplined

LastModifiedDate

10/09/2006