DERRICK T PREVATT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011981

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

PREVATT

Business Name

DERRICK T PREVATT

Original Issue Date

10/02/2014

Effective Date

10/02/2014

Expiration Date

05/31/2016

City

SANFORD

State

Zip

32771

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/11/2016