TIMOTHY M PANEK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010225

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

PANEK

Business Name

TIMOTHY M PANEK

Original Issue Date

02/11/2013

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

BOSTON

State

Zip

02109

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

01/14/2021