STEPHANIE MARIE LATHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041398494

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

MARIE

Last Name

LATHAM

Business Name

STEPHANIE MARIE LATHAM

Original Issue Date

12/29/2011

Effective Date

06/03/2014

Expiration Date

05/31/2016

City

ALBANY

State

Zip

12205

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/11/2016