VIVIANE MIRANDA B SANTOS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

INACTIVE

Business

First Name

VIVIANE

Middle

MIRANDA B

Last Name

SANTOS

Business Name

VIVIANE MIRANDA B SANTOS

Original Issue Date

11/13/2014

Effective Date

05/11/2020

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2020