MELINA MONCIVAIZ Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

INOPERATIVE

Business

First Name

MELINA

Last Name

MONCIVAIZ

Business Name

MELINA MONCIVAIZ

Original Issue Date

12/20/2017

Effective Date

09/16/2020

Expiration Date

05/31/2022

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/02/2022