JACQUELINE SUMBAUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041073364

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

SUMBAUM

Business Name

JACQUELINE SUMBAUM

Original Issue Date

11/20/1952

Effective Date

11/20/1952

City

ST AUGUSTINE BEACH

State

Zip

32084

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006