BRENDA LEE ANITA MARIE STAVISH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013587

License Status

NOT RENEWED

Business

First Name

BRENDA LEE

Middle

ANITA MARIE

Last Name

STAVISH

Business Name

BRENDA LEE ANITA MARIE STAVISH

Original Issue Date

11/13/2015

Effective Date

04/15/2016

Expiration Date

05/31/2018

City

TACOMA

State

Zip

98407

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

07/19/2018