JERRIE LORAINE DOUSSARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149676

License Status

NOT RENEWED

Business

First Name

JERRIE LORAINE

Last Name

DOUSSARD

Business Name

JERRIE LORAINE DOUSSARD

Original Issue Date

10/03/1973

Effective Date

10/03/1973

Expiration Date

05/31/1984

City

SALT LAKE CITY

State

Zip

84121

County

UTAH

Ever Disciplined

LastModifiedDate

09/27/2006