License Directory

Mary Teresa Soukup

Expired

California license 170828

License

Licensed by
California Board of Registered Nursing
License number
170828
Status
Expired (Delinquent)
First issued
January 1, 1966
Expired
June 30, 2012
License holder
Mary Teresa Soukup
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

64 Nob Place
San Ramon, CA 94583
Contra Costa County