JON DAVID LAVERTY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020990

License Status

NOT RENEWED

Business

First Name

JON

Middle

DAVID

Last Name

LAVERTY

Business Name

JON DAVID LAVERTY

Original Issue Date

03/03/2020

Effective Date

03/03/2020

Expiration Date

08/31/2022

City

LAGRANGE

State

Zip

40031

Ever Disciplined

LastModifiedDate

10/14/2022