License Information
License Number
041479545Business Name
MARISSA MARIE LAKEFIELDLicense Type
NURSING BOARDOriginal Issue Date
2019-05-28License Status
ACTIVECity
PINETOPState
AZCounty
ARIZONAPost
85935Update Date
2022-04-28Business
NEffective Date
03/25/2020Expiration Date
05/31/2022Ever Disciplined
NLastModifiedDate
03/25/2020Registered Location
Peripheral Licensees
- PINETOP PINETOP, AZ 85935
- CATHERINE L FULLER PINETOP, AZ 85935
- REBECCA M STEPHAN PINETOP, AZ 85935
- STEVEN J WILLIAMS PINETOP, AZ 85935
- DEBORAH JANE WILLIAMS PINETOP, AZ 85935
- WYNDHAM PINETOP PINETOP, AZ 85935
- PINETOP PINETOP, AZ 85935
- ADRIENNE N ANTONI PINETOP, AZ 85935
- PREMIERE VACATION CLUB AT THE ROUNDHOUSE RESORT PINETOP, AZ 85935
- ROUNDHOUSE RESORT PINETOP, AZ 85935