CONNIE HARPER REQUARTH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001191

License Status

INACTIVE

Business

First Name

CONNIE HARPER

Last Name

REQUARTH

Business Name

CONNIE HARPER REQUARTH

Original Issue Date

06/20/2001

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

05/29/2018