License holder summary

SHANNA FORMISANO is a Certified Nurse Practitioner licensed to practice in New Mexico. This licensed professional license is not current. The license was granted 08/29/2006 and expired on 03/31/2011.

New Mexico

Regulation & Licensing Department

SHANNA FORMISANO
Certified Nurse Practitioner
License number
CNP01375
Date granted
08/29/2006
Date expires
03/31/2011
Class
Certified Nurse Practitioner
Status
Lapsed
licensingnm.com
ID 5342591
LAST UPDATED 2024-05-11 04:08:10 UTC

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