NameGAIL POLENA LYNN
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
COA.00219-NS Clinical Nurse Specialist 06/30/1997 08/29/2013 08/31/2015 INACTIVE
RN.256286-1 Registered Nurse-1 Certificate of Authority 12/19/1994 06/22/2015 08/31/2017 ACTIVE Endorsement

Comments


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