JUDITH B SUPANICH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006730

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

Last Name

SUPANICH

Business Name

JUDITH B SUPANICH

Original Issue Date

08/24/2007

Effective Date

05/18/2016

Expiration Date

05/31/2018

City

ST CLAIR SHORES

State

Zip

48082

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/19/2018