DOMONIQUE TIERRA LOUIS - Advanced Practice Nurse License in Tennessee | # 209031330

DOMONIQUE TIERRA LOUIS

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031330

License Status

INACTIVE

Business

N

First Name

DOMONIQUE

Middle

TIERRA

Last Name

LOUIS

Business Name

DOMONIQUE TIERRA LOUIS

Original Issue Date

12/30/2024

Effective Date

12/30/2024

Expiration Date

05/31/2026

State

TN

Ever Disciplined

N

LastModifiedDate

03/08/2025