SAMANTHA RENATE BACA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041420548

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

RENATE

Last Name

BACA

Business Name

SAMANTHA RENATE BACA

Original Issue Date

06/13/2014

Effective Date

06/13/2014

Expiration Date

05/31/2016

City

ALBUQUERQUE

State

Zip

87112

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

07/11/2016