STATIA XIVVY WOERTENDYKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041425531

License Status

NOT RENEWED

Business

First Name

STATIA

Middle

XIVVY

Last Name

WOERTENDYKE

Business Name

STATIA XIVVY WOERTENDYKE

Original Issue Date

10/21/2014

Effective Date

05/27/2016

Expiration Date

05/31/2018

City

ALBANY

State

Zip

12205

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/19/2018