KRYSTAL VITISSIA DREWERY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041550830

License Status

ACTIVE

Business

First Name

KRYSTAL

Middle

VITISSIA

Last Name

DREWERY

Business Name

KRYSTAL VITISSIA DREWERY

Original Issue Date

08/22/2023

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

LIZELLA

State

Zip

31052

Ever Disciplined

LastModifiedDate

03/01/2026