MARY KATHRYN EVANGELISTA - Advanced Practice Nurse License in Indiana | # 30*****13

MARY KATHRYN EVANGELISTA

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

INACTIVE

Business

N

First Name

MARY

Middle

KATHRYN

Last Name

EVANGELISTA

Business Name

MARY KATHRYN EVANGELISTA

Original Issue Date

11/20/2021

Effective Date

05/04/2022

Expiration Date

05/31/2024

State

IN

Ever Disciplined

N

LastModifiedDate

03/31/2023