EDWARD ELIZONDO CREMATA
License Number: APRN11012786
Data As Of 6/24/2024
| Profession | Advanced Practice Registered Nurse |
|---|---|
| License | APRN11012786 |
| License Status | CLEAR/Active |
| Qualifications | Nurse Practitioner |
| License Expiration Date | 7/31/2026 |
| License Original Issue Date | 04/20/2021 |
| Address of Record | 15529 S. Winged Trace Ct. |
| DRAPER, UT 84020 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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