SR G DU ST ROSAI BRADLEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012441

License Status

INACTIVE

Business

First Name

SR G DU ST ROSAI

Last Name

BRADLEY

Business Name

SR G DU ST ROSAI BRADLEY

Original Issue Date

06/29/1964

Effective Date

12/13/2004

Expiration Date

01/31/2005

City

QUEENS VILLAGE

State

Zip

11429

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/15/2005