PUNAM TRIVEDE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018588

License Status

ACTIVE

Business

First Name

PUNAM

Last Name

TRIVEDE

Business Name

PUNAM TRIVEDE

Original Issue Date

01/02/2019

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

03/02/2026