MELISSA DAWN SLACK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025585

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

DAWN

Last Name

SLACK

Business Name

MELISSA DAWN SLACK

Original Issue Date

07/27/2022

Effective Date

07/27/2022

Expiration Date

06/30/2024

City

BROOKVILLE

State

Zip

45309

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/05/2025