THERESA SUP Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041201653

License Status

INACTIVE

Business

First Name

THERESA

Last Name

SUP

Business Name

THERESA SUP

Original Issue Date

05/19/1981

Effective Date

05/19/1981

Expiration Date

05/31/1992

City

EWA BEACH

State

Zip

96706

Ever Disciplined

LastModifiedDate

09/27/2006