MICHAEL VITO DIMUCCI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

VITO

Last Name

DIMUCCI

Business Name

MICHAEL VITO DIMUCCI

Original Issue Date

04/20/2017

Effective Date

05/20/2022

Expiration Date

06/30/2024

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025