MIRANDA FUNK-GARRETT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

INACTIVE

Business

First Name

MIRANDA

Last Name

FUNK-GARRETT

Business Name

MIRANDA FUNK-GARRETT

Original Issue Date

08/04/2009

Effective Date

05/04/2022

Expiration Date

05/31/2024

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2022