TINA PHYLLIS GIACCHETTI Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116275

License Status

INACTIVE

Business

First Name

TINA PHYLLIS

Last Name

GIACCHETTI

Business Name

TINA PHYLLIS GIACCHETTI

Original Issue Date

12/15/1965

Effective Date

12/15/1965

Expiration Date

05/31/2004

City

SANTA FE

State

Zip

87505

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/09/2006