IVO BLAZE ANDRIC ANG VICERA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041555007

License Status

ACTIVE

Business

First Name

IVO BLAZE ANDRIC

Middle

ANG

Last Name

VICERA

Business Name

IVO BLAZE ANDRIC ANG VICERA

Original Issue Date

11/05/2023

Effective Date

05/19/2024

Expiration Date

05/31/2026

City

EAGLE

State

Zip

81631

Ever Disciplined

LastModifiedDate

02/28/2026