THERESA A PATCH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119574

License Status

INACTIVE

Business

First Name

THERESA A

Last Name

PATCH

Business Name

THERESA A PATCH

Original Issue Date

11/07/1966

Effective Date

01/24/2011

Expiration Date

05/31/2012

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

03/08/2012