SEVILAWONGEL DESTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041509453

License Status

NOT RENEWED

Business

First Name

SEVILAWONGEL

Last Name

DESTA

Business Name

SEVILAWONGEL DESTA

Original Issue Date

05/24/2021

Effective Date

05/24/2021

Expiration Date

08/31/2022

City

PHOENIX

State

Zip

85021

Ever Disciplined

LastModifiedDate

10/14/2022