SANDRA J DATES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186958

License Status

NOT RENEWED

Business

First Name

SANDRA J

Last Name

DATES

Business Name

SANDRA J DATES

Original Issue Date

03/09/1979

Effective Date

03/09/1979

City

HANNIBAL

State

Zip

13074

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006