LAKIETA EDWARDS GLASS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

INACTIVE

Business

First Name

LAKIETA

Middle

EDWARDS

Last Name

GLASS

Business Name

LAKIETA EDWARDS GLASS

Original Issue Date

05/05/2014

Effective Date

03/25/2018

Expiration Date

09/30/2020

City

TAMPA

State

Zip

33626

Ever Disciplined

LastModifiedDate

03/08/2020