MARY DIANE MACKENBURG-MOHN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034484

License Status

INACTIVE

Business

First Name

MARY

Middle

DIANE

Last Name

MACKENBURG-MOHN

Business Name

MARY DIANE MACKENBURG-MOHN

Original Issue Date

01/16/2026

Effective Date

01/16/2026

Expiration Date

05/31/2026

City

NAPLES

State

Zip

34113

Ever Disciplined

LastModifiedDate

03/09/2026