EVAN MATTHEW SUPERNANT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041456476

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

MATTHEW

Last Name

SUPERNANT

Business Name

EVAN MATTHEW SUPERNANT

Original Issue Date

08/08/2017

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

TEMPE

State

Zip

85283

Ever Disciplined

LastModifiedDate

01/14/2021