SUSAN JANE POLLY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193057

License Status

INACTIVE

Business

First Name

SUSAN JANE

Last Name

POLLY

Business Name

SUSAN JANE POLLY

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1994

City

NORTH RICHLAND HILLS

State

Zip

76180

County

TEXAS

Ever Disciplined

LastModifiedDate

09/27/2006