AUDRA K TRILLANA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026112

License Status

NOT RENEWED

Business

First Name

AUDRA

Middle

Last Name

TRILLANA

Business Name

AUDRA K TRILLANA

Original Issue Date

10/04/2022

Effective Date

10/04/2022

Expiration Date

06/30/2024

City

YELLOW SPRINGS

State

Zip

45387

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/05/2025