E GRACE K SANSOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041221822

License Status

INACTIVE

Business

First Name

E GRACE K

Last Name

SANSOM

Business Name

E GRACE K SANSOM

Original Issue Date

03/06/1984

Effective Date

03/06/1984

Expiration Date

05/31/1988

City

SALT LAKE CITY

State

Zip

84106

County

UTAH

Ever Disciplined

LastModifiedDate

09/27/2006