License Number: RN9421646

Data As Of 2/7/2023

Profession Registered Nurse
License RN9421646
License Status REVOKED/
Qualifications Single-state License
License Expiration Date 4/30/2021
License Original Issue Date 11/23/2015
Address of Record If further information is needed, please contact the Department of Health at (850) 488-0595.
Discipline on File Yes
Public Complaint Yes

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