DOMONIQUE TIERRA LOUIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031330

License Status

INACTIVE

Business

First Name

DOMONIQUE

Middle

TIERRA

Last Name

LOUIS

Business Name

DOMONIQUE TIERRA LOUIS

Original Issue Date

12/30/2024

Effective Date

12/30/2024

Expiration Date

05/31/2026

City

CORDOVA

State

Zip

38018

Ever Disciplined

LastModifiedDate

03/08/2025