NATHANIEL JOHN GEORGETTE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013611

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

JOHN

Last Name

GEORGETTE

Business Name

NATHANIEL JOHN GEORGETTE

Original Issue Date

11/19/2015

Effective Date

06/17/2016

Expiration Date

05/31/2018

City

SOUTHBURY

State

Zip

06488

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

07/19/2018