SHANNON ACQUAVIVA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209027560

License Status

NOT RENEWED

Business

First Name

SHANNON

Last Name

ACQUAVIVA

Business Name

SHANNON ACQUAVIVA

Original Issue Date

05/30/2023

Effective Date

05/30/2023

Expiration Date

06/30/2024

City

FALLSTON

State

Zip

21047

Ever Disciplined

LastModifiedDate

02/05/2025