MIELBERT JAY L BAMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041485602

License Status

NOT RENEWED

Business

First Name

MIELBERT JAY

Middle

Last Name

BAMA

Business Name

MIELBERT JAY L BAMA

Original Issue Date

09/17/2019

Effective Date

03/30/2020

Expiration Date

08/31/2022

City

BRECKENRIDGE

State

Zip

76424

Ever Disciplined

LastModifiedDate

10/14/2022