NameTIFFANY LEA ANN DEPRIEST
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
IP.408030-ENDS Practical Nurse - Temporary Work Permit 05/26/2006 05/26/2006 11/26/2006 CLOSED License Issued
PN.124619-M-IV Licensed Practical Nurse - M-IV 10/30/2006 06/26/2014 08/31/2016 ACTIVE Endorsement

Comments


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