KENNETH P EVANGELISTA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

EVANGELISTA

Business Name

KENNETH P EVANGELISTA

Original Issue Date

02/04/2014

Effective Date

03/22/2016

Expiration Date

05/31/2018

City

SAN DIEGO

State

Zip

92110

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018