DAVID GEORGE LERDAHL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041319702

License Status

INACTIVE

Business

First Name

DAVID

Middle

GEORGE

Last Name

LERDAHL

Business Name

DAVID GEORGE LERDAHL

Original Issue Date

06/01/2000

Effective Date

06/01/2000

Expiration Date

05/31/2004

City

BOONTIFUL

State

Zip

84010

County

UTAH

Ever Disciplined

LastModifiedDate

10/09/2006