MELISSA J ALLEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

ALLEN

Business Name

MELISSA J ALLEN

Original Issue Date

09/01/2016

Effective Date

05/13/2018

Expiration Date

09/30/2020

City

BRADENTON

State

Zip

34211

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021