MARCIO LICURGO DE AZEVEDO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041448434

License Status

NOT RENEWED

Business

First Name

MARCIO

Middle

LICURGO DE

Last Name

AZEVEDO

Business Name

MARCIO LICURGO DE AZEVEDO

Original Issue Date

12/08/2016

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

LAKELAND

State

Zip

38002

County

GEORGIA

Ever Disciplined

LastModifiedDate

01/14/2021