MOENSANIA CARISA PHILLIPS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029152

License Status

INACTIVE

Business

First Name

MOENSANIA

Middle

CARISA

Last Name

PHILLIPS

Business Name

MOENSANIA CARISA PHILLIPS

Original Issue Date

01/03/2024

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

ATLANTA

State

Zip

30340

Ever Disciplined

LastModifiedDate

04/30/2024