METTA KATHERINE LEE WEAVER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033968

License Status

INACTIVE

Business

First Name

METTA

Middle

KATHERINE LEE

Last Name

WEAVER

Business Name

METTA KATHERINE LEE WEAVER

Original Issue Date

11/13/2025

Effective Date

11/13/2025

Expiration Date

05/31/2026

City

BOISE

State

Zip

83703

Ever Disciplined

LastModifiedDate

11/13/2025