THERESA ELLEN PEACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132819

License Status

NOT RENEWED

Business

First Name

THERESA ELLEN

Last Name

PEACH

Business Name

THERESA ELLEN PEACH

Original Issue Date

09/16/1969

Effective Date

09/16/1969

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006