SAU-MI PRISCILLA FAN - Advanced Practice Nurse License in New Jersey | # 209018830

SAU-MI PRISCILLA FAN

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018830

License Status

NOT RENEWED

Business

N

First Name

SAU-MI

Middle

PRISCILLA

Last Name

FAN

Business Name

SAU-MI PRISCILLA FAN

Original Issue Date

02/16/2019

Effective Date

02/16/2019

Expiration Date

09/30/2020

State

NJ

Ever Disciplined

N

LastModifiedDate

01/14/2021