ROY M MAYBERRY JR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005318

License Status

NOT RENEWED

Business

First Name

ROY M

Last Name

MAYBERRY JR

Business Name

ROY M MAYBERRY JR

Original Issue Date

10/08/2004

Effective Date

04/13/2012

Expiration Date

05/31/2014

City

INDIANAPOLIS

State

Zip

46236

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014