MELINA MONCIVAIZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016879

License Status

NOT RENEWED

Business

First Name

MELINA

Last Name

MONCIVAIZ

Business Name

MELINA MONCIVAIZ

Original Issue Date

11/07/2017

Effective Date

09/16/2020

Expiration Date

08/31/2022

City

DAVENPORT

State

Zip

52803

County

SCOTT

Ever Disciplined

LastModifiedDate

10/14/2022