LEAH RAE HETTEMA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169335

License Status

INACTIVE

Business

First Name

LEAH RAE

Last Name

HETTEMA

Business Name

LEAH RAE HETTEMA

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/2004

City

SPRINGFIELD

State

Zip

22151

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/09/2006