ULLA BRITT LACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203758

License Status

INACTIVE

Business

First Name

ULLA BRITT

Last Name

LACK

Business Name

ULLA BRITT LACK

Original Issue Date

09/16/1981

Effective Date

05/17/2010

Expiration Date

05/31/2012

City

COEUR D'ALENE

State

Zip

83814

County

IDAHO

Ever Disciplined

LastModifiedDate

03/08/2012