LAURA L HACKWORTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

HACKWORTH

Business Name

LAURA L HACKWORTH

Original Issue Date

03/29/2011

Effective Date

05/15/2018

Expiration Date

09/30/2020

City

DUNKIRK

State

Zip

20754

County

CLINTON

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021