KATHERINE ROSA DEMEULENAERE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

INACTIVE

Business

First Name

KATHERINE

Middle

ROSA

Last Name

DEMEULENAERE

Business Name

KATHERINE ROSA DEMEULENAERE

Original Issue Date

05/15/2019

Effective Date

09/05/2024

Expiration Date

05/31/2026

City

ANGIER

State

Zip

27501

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024