PHYLLIS RUTH DALLABETTA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008942

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

RUTH

Last Name

DALLABETTA

Business Name

PHYLLIS RUTH DALLABETTA

Original Issue Date

07/27/2011

Effective Date

04/09/2012

Expiration Date

05/31/2014

City

TRINIDAD

State

Zip

81082

County

COLORADO

Ever Disciplined

LastModifiedDate

07/03/2014