SUSAN STELLA MALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137152

License Status

NOT RENEWED

Business

First Name

SUSAN STELLA

Last Name

MALL

Business Name

SUSAN STELLA MALL

Original Issue Date

10/06/1970

Effective Date

10/06/1970

City

CLEARWATER

State

Zip

33755

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006