RENEE BLACK VIVERITO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168010

License Status

INACTIVE

Business

First Name

RENEE BLACK

Last Name

VIVERITO

Business Name

RENEE BLACK VIVERITO

Original Issue Date

11/01/1976

Effective Date

03/22/2012

Expiration Date

05/31/2014

City

CLEARWATER

State

Zip

33759

County

FLORIDA

Ever Disciplined

LastModifiedDate

03/06/2014