ITA PANTILAT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041211294

License Status

INACTIVE

Business

First Name

ITA

Last Name

PANTILAT

Business Name

ITA PANTILAT

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/1984

City

ISSAQUAH

State

Zip

98027

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/27/2006