PHILIP HERNANDEZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018564

License Status

NOT RENEWED

Business

First Name

PHILIP

Last Name

HERNANDEZ

Business Name

PHILIP HERNANDEZ

Original Issue Date

12/21/2018

Effective Date

12/21/2018

Expiration Date

09/30/2020

City

MANCHESTER

State

Zip

03109

Ever Disciplined

LastModifiedDate

01/14/2021