GEONELL D MASICLAT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041448051

License Status

NOT RENEWED

Business

First Name

GEONELL

Middle

Last Name

MASICLAT

Business Name

GEONELL D MASICLAT

Original Issue Date

11/21/2016

Effective Date

07/07/2020

Expiration Date

08/31/2022

City

NASHVILLE

State

Zip

37215

Ever Disciplined

LastModifiedDate

10/14/2022