MEREDITH L SEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

NOT RENEWED

Business

First Name

MEREDITH

Middle

Last Name

SEN

Business Name

MEREDITH L SEN

Original Issue Date

11/22/2011

Effective Date

06/03/2018

Expiration Date

09/30/2020

City

AMHERST

State

Zip

01002

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021