CAROL ANN DELLAVEDOVA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

ANN

Last Name

DELLAVEDOVA

Business Name

CAROL ANN DELLAVEDOVA

Original Issue Date

10/05/2016

Effective Date

10/05/2016

Expiration Date

05/31/2018

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/19/2018