JASON R IMMERTREU Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012829

License Status

INACTIVE

Business

First Name

JASON

Middle

Last Name

IMMERTREU

Business Name

JASON R IMMERTREU

Original Issue Date

05/22/2015

Effective Date

03/21/2018

Expiration Date

09/30/2020

City

PAGOSA SPRINGS

State

Zip

81147

Ever Disciplined

LastModifiedDate

03/08/2020