JOHN W AMBROSE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004923

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

AMBROSE

Business Name

JOHN W AMBROSE

Original Issue Date

12/02/2003

Effective Date

05/20/2010

Expiration Date

05/31/2012

City

SOUTH PORTLAND

State

Zip

04106

County

MAINE

Ever Disciplined

LastModifiedDate

07/10/2012