MICHAEL SERVILLA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034389

License Status

INACTIVE

Business

First Name

MICHAEL

Last Name

SERVILLA

Business Name

MICHAEL SERVILLA

Original Issue Date

01/11/2026

Effective Date

01/11/2026

Expiration Date

05/31/2026

City

ALBUQUERQUE

State

Zip

87111

Ever Disciplined

LastModifiedDate

01/11/2026