| Name | EILEEN ANN DUPUY |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| COA.00322-NA | Certified Nurse Anesthetist | 07/07/1997 | 06/10/1999 | 08/31/2001 | INACTIVE | ||||||||||
| RN.073064- | Registered Nurse | 12/01/1958 | 04/30/2009 | 08/31/2011 | INACTIVE | (Unknown) | |||||||||