STEVEN MATHEW DZYBAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014669

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

MATHEW

Last Name

DZYBAN

Business Name

STEVEN MATHEW DZYBAN

Original Issue Date

08/08/2016

Effective Date

08/08/2016

Expiration Date

05/31/2018

City

BALTIMORE

State

Zip

21223

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/14/2018

Case Number

2017001988

Action

Suspension

Discipline Start Date

09/02/2018

Discipline Reason

due to failure to report termination and that his Tennessee nursing license was disciplined.