MIRIAM STEFANIE TALLEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004663

License Status

NOT RENEWED

Business

First Name

MIRIAM

Middle

STEFANIE

Last Name

TALLEY

Business Name

MIRIAM STEFANIE TALLEY

Original Issue Date

03/26/2003

Effective Date

09/01/2020

Expiration Date

08/31/2022

City

SAN ANTONIO

State

Zip

78251

County

TEXAS

Ever Disciplined

LastModifiedDate

10/14/2022