CHANTELLE MARIE ALLEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024384

License Status

NOT RENEWED

Business

First Name

CHANTELLE

Middle

MARIE

Last Name

ALLEN

Business Name

CHANTELLE MARIE ALLEN

Original Issue Date

11/16/2021

Effective Date

11/16/2021

Expiration Date

08/31/2022

City

ROSEDALE

State

Zip

47874

Ever Disciplined

LastModifiedDate

10/14/2022