ELISABETH J FOSTINO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

INACTIVE

Business

First Name

ELISABETH

Middle

Last Name

FOSTINO

Business Name

ELISABETH J FOSTINO

Original Issue Date

12/15/2017

Effective Date

10/01/2020

Expiration Date

08/31/2022

City

GOODYEAR

State

Zip

85338

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/12/2022