MARY SUE KAMALI AZAD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132151

License Status

INACTIVE

Business

First Name

MARY SUE KAMALI

Last Name

AZAD

Business Name

MARY SUE KAMALI AZAD

Original Issue Date

08/26/1969

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

PORT ST LUCIE

State

Zip

34953

County

FLORIDA

Ever Disciplined

LastModifiedDate

03/08/2012