PANGAA BUNIYA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020038

License Status

NOT RENEWED

Business

First Name

PANGAA

Last Name

BUNIYA

Business Name

PANGAA BUNIYA

Original Issue Date

09/16/2019

Effective Date

09/16/2019

Expiration Date

09/30/2020

City

TULSA

State

Zip

74119

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021