SHANNA FORMISANO
Certified Nurse Practitioner
New Mexico CNP01375 Lapsed
This New Mexico license was held by SHANNA FORMISANO. The license is no longer active. It was granted on 08/29/2006 and expired on 03/31/2011
LICENSE DETAILS
- License Number: CNP01375
- Category: Certified Nurse Practitioner
- Status: Lapsed
- Date Granted: 08/29/2006 (almost 18 years ago)
- Expiry Date: 03/31/2011 (about 13 years ago)