DEANNA J SUP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041155083

License Status

NOT RENEWED

Business

First Name

DEANNA J

Last Name

SUP

Business Name

DEANNA J SUP

Original Issue Date

07/01/1974

Effective Date

03/16/2010

Expiration Date

05/31/2012

City

ELLIJAY

State

Zip

30540

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/10/2012