SUMMER RENEE BLACK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021758

License Status

NOT RENEWED

Business

First Name

SUMMER

Middle

RENEE

Last Name

BLACK

Business Name

SUMMER RENEE BLACK

BusinessDBA

PROCTOR

Original Issue Date

08/03/2020

Effective Date

08/03/2020

Expiration Date

08/31/2022

City

BENTON

State

Zip

63736

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/14/2022