MARIE D BOLIVAR-CANO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

Last Name

BOLIVAR-CANO

Business Name

MARIE D BOLIVAR-CANO

Original Issue Date

03/14/2013

Effective Date

03/14/2013

Expiration Date

05/31/2014

City

PHILADELPHIA

State

Zip

19103

Ever Disciplined

LastModifiedDate

07/03/2014