CRYSTAL BROADWAY-FOX Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041479112

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Last Name

BROADWAY-FOX

Business Name

CRYSTAL BROADWAY-FOX

Original Issue Date

05/13/2019

Effective Date

05/13/2019

Expiration Date

09/30/2020

City

ADVANCE

State

Zip

27006

Ever Disciplined

LastModifiedDate

01/14/2021