TIA L. BROADNAX Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041488544

License Status

NOT RENEWED

Business

First Name

TIA

Middle

Last Name

BROADNAX

Business Name

TIA L. BROADNAX

Original Issue Date

11/26/2019

Effective Date

04/02/2020

Expiration Date

08/31/2022

City

GREENSBORO

State

Zip

27405

Ever Disciplined

LastModifiedDate

10/14/2022