LATIA RACHELLE SUMMERVILLE - Advanced Practice Nurse License in Indiana | # 209025042

LATIA RACHELLE SUMMERVILLE

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025042

License Status

ACTIVE

Business

N

First Name

LATIA

Middle

RACHELLE

Last Name

SUMMERVILLE

Business Name

LATIA RACHELLE SUMMERVILLE

Original Issue Date

04/02/2022

Effective Date

03/27/2026

Expiration Date

05/31/2028

State

IN

Ever Disciplined

N

LastModifiedDate

03/27/2026