MITZIE NICOLA REAGAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015943

License Status

NOT RENEWED

Business

First Name

MITZIE

Middle

NICOLA

Last Name

REAGAN

Business Name

MITZIE NICOLA REAGAN

Original Issue Date

04/26/2017

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

BOGART

State

Zip

30622

Ever Disciplined

LastModifiedDate

01/14/2021