ENRIQUE M AGMATA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041460730

License Status

ACTIVE

Business

First Name

ENRIQUE

Middle

Last Name

AGMATA

Business Name

ENRIQUE M AGMATA

Original Issue Date

12/22/2017

Effective Date

07/17/2024

Expiration Date

05/31/2026

City

FORT SMITH

State

Zip

72903

Ever Disciplined

LastModifiedDate

02/28/2026