VIVIANE MIRANDA B SANTOS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011842

License Status

INACTIVE

Business

First Name

VIVIANE

Middle

MIRANDA B

Last Name

SANTOS

Business Name

VIVIANE MIRANDA B SANTOS

Original Issue Date

09/11/2014

Effective Date

05/11/2020

Expiration Date

05/31/2022

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2020