TERRY L HAVENS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008343

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

HAVENS

Business Name

TERRY L HAVENS

Original Issue Date

09/08/2010

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021