MELINDA DAWN FUQUA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021395

License Status

NOT RENEWED

Business

First Name

MELINDA

Middle

DAWN

Last Name

FUQUA

Business Name

MELINDA DAWN FUQUA

Original Issue Date

06/09/2020

Effective Date

10/03/2022

Expiration Date

06/30/2024

City

PARIS

State

Zip

61944

County

EDGAR

Ever Disciplined

LastModifiedDate

02/05/2025