License Number: APRN9309117

Data As Of 3/1/2024

Profession Advanced Practice Registered Nurse
License APRN9309117
License Status CLEAR/ACTIVE
Qualifications Nurse Practitioner
License Expiration Date 4/30/2024
License Original Issue Date 01/17/2017
Address of Record 4453 Hwy 90
PACE, FL 32571
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) No
Discipline on File No
Public Complaint No

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