ANNALISSA SUATOMBOC KO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041410457

License Status

NOT RENEWED

Business

First Name

ANNALISSA

Middle

SUATOMBOC

Last Name

Business Name

ANNALISSA SUATOMBOC KO

Original Issue Date

05/10/2013

Effective Date

05/10/2013

Expiration Date

05/31/2014

City

WILLOW GROVE

State

Zip

19090

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

07/03/2014