JENNIFER ELIZABE C DE BACA

Business Entity
NOT RENEWED

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041207766

NOT RENEWED

N

JENNIFER ELIZABE

C DE BACA

JENNIFER ELIZABE C DE BACA

11/10/1981

11/10/1981

05/31/1984

TULAROSA

NM

88352

NEW MEXICO

Y

09/27/2006

1993005170

Suspension

11/10/1994

Disciplined in New Mexico.