PAMELA S VIPOND Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

NOT RENEWED

Business

First Name

PAMELA S

Last Name

VIPOND

Business Name

PAMELA S VIPOND

Original Issue Date

03/29/2016

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

ROCK ISLAND

State

Zip

61201

County

RHODE ISLAND

Delegated Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

01/14/2021