TANYA R CHAMPA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006485

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

Last Name

CHAMPA

Business Name

TANYA R CHAMPA

Original Issue Date

02/20/2007

Effective Date

04/28/2016

Expiration Date

05/31/2018

City

HEATH

State

Zip

75032

County

WILL

Ever Disciplined

LastModifiedDate

07/19/2018