IDA FAZAKAS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004735

License Status

NOT RENEWED

Business

First Name

IDA

Last Name

FAZAKAS

Business Name

IDA FAZAKAS

Original Issue Date

07/01/2003

Effective Date

06/10/2020

Expiration Date

08/31/2022

City

HOPKINTON

State

Zip

03229

County

NEW HAMPSHIRE

Ever Disciplined

LastModifiedDate

10/14/2022