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Licensed Professional Information:
Registered Nurse 4704260153


 
Note
Disciplinary Actions last updated on: 08/11/2025.
Condition: 
Fine Imposed Severity:  Notice
Total Conditions: 4  (Notice: 4)
 

Licensee Detail

 
NURSE SPECIALTY CERTIFICATION

Specialty Certification:

Nurse Practitioner

Status:

Active

Issue Date:

04/22/2011

Expiration Date:

07/10/2026

 
 

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