DAN RALPH PROVIDO MEDIANA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041511860

License Status

NOT RENEWED

Business

First Name

DAN RALPH

Middle

PROVIDO

Last Name

MEDIANA

Business Name

DAN RALPH PROVIDO MEDIANA

Original Issue Date

07/14/2021

Effective Date

05/19/2022

Expiration Date

06/30/2024

City

NASHVILLE

State

Zip

37215

County

TENNESSEE

Ever Disciplined

LastModifiedDate

02/05/2025