ELIZABETH FANTA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018243

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

FANTA

Business Name

ELIZABETH FANTA

Original Issue Date

09/25/2018

Effective Date

09/25/2018

Expiration Date

09/30/2020

City

WESTLAKE

State

Zip

44145

Ever Disciplined

LastModifiedDate

01/14/2021