PATRICIA A DEANGELIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

DEANGELIS

Business Name

PATRICIA A DEANGELIS

Original Issue Date

04/04/2019

Effective Date

04/04/2019

Expiration Date

09/30/2020

City

BRIDGMAN

State

Zip

49106

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021