KATHLEEN KIRSTIN SAN JUAN CHUA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041365565

License Status

NOT RENEWED

Business

First Name

KATHLEEN KIRSTIN

Middle

SAN JUAN

Last Name

CHUA

Business Name

KATHLEEN KIRSTIN SAN JUAN CHUA

Original Issue Date

01/07/2008

Effective Date

04/12/2010

Expiration Date

05/31/2012

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012