JEANETTE ANN BACCI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022569

License Status

NOT RENEWED

Business

First Name

JEANETTE

Middle

ANN

Last Name

BACCI

Business Name

JEANETTE ANN BACCI

BusinessDBA

MANTO

Original Issue Date

12/23/2020

Effective Date

12/23/2020

Expiration Date

08/31/2022

City

SHELBY TOWNSHIP

State

Zip

48316

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/14/2022