JOHANNA R NATIVIDAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041487189

License Status

NOT RENEWED

Business

First Name

JOHANNA

Middle

Last Name

NATIVIDAD

Business Name

JOHANNA R NATIVIDAD

Original Issue Date

10/25/2019

Effective Date

09/14/2020

Expiration Date

08/31/2022

City

NUEVA VIZCAYA 3709

State

Zip

03709

Ever Disciplined

LastModifiedDate

10/14/2022