DAVITA ANTONNETTE ERVIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041506330

License Status

NOT RENEWED

Business

First Name

DAVITA

Middle

ANTONNETTE

Last Name

ERVIN

Business Name

DAVITA ANTONNETTE ERVIN

Original Issue Date

02/26/2021

Effective Date

02/26/2021

Expiration Date

08/31/2022

City

VILLA RICA

State

Zip

30180

Ever Disciplined

LastModifiedDate

10/14/2022