TERESA L DEROSE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019925

License Status

NOT RENEWED

Business

First Name

TERESA L

Last Name

DEROSE

Business Name

TERESA L DEROSE

Original Issue Date

06/22/1967

City

SALT LAKE CITY

State

Zip

84111

County

UTAH

Ever Disciplined

LastModifiedDate

10/21/2005