SUE ANN WALTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041140843

License Status

NOT RENEWED

Business

First Name

SUE ANN

Last Name

WALTA

Business Name

SUE ANN WALTA

Original Issue Date

09/29/1971

Effective Date

09/29/1971

City

AFTON

State

Zip

55001

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/27/2006