THERESA S DALLA VALLE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041133206

License Status

INACTIVE

Business

First Name

THERESA S

Last Name

DALLA VALLE

Business Name

THERESA S DALLA VALLE

Original Issue Date

10/07/1969

Effective Date

10/07/1969

Expiration Date

05/31/2006

City

MAUSTON

State

Zip

53948

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006