DEETTA KAY VANCE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023406

License Status

NOT RENEWED

Business

First Name

DEETTA

Middle

KAY

Last Name

VANCE

Business Name

DEETTA KAY VANCE

BusinessDBA

DEETTA CLOUSE

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

08/31/2022

City

GREENWOOD

State

Zip

46143

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/14/2022