License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
COA.00976-NS Clinical Nurse Specialist 07/28/1997 05/20/1999 08/31/2001 INACTIVE
RN.070362- Registered Nurse 12/13/1957 06/03/2003 08/31/2005 LAPSED (Unknown)
License and Registration Information (cont.)
CredentialSpecialty 1Certifying Org 1Certifying ExpDate 1Specialty 2Certifying Org 2Certifying ExpDate 2Specialty 3Certifying Org 3Certifying ExpDate 3
COA.00976-NS NS - MED SURGANCC8/31/2004
Effective February 1, 2011, the Board will require primary source verification for advanced practice nurse national recertification. For this to occur, an advanced practice nurse must request that their national certifying organization notify the Board directly of national recertification within thirty days of their recertification. The Board will no longer accept documentation of recertification directly from a COA holder.


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