MILENA TRACI MASK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014505

License Status

NOT RENEWED

Business

First Name

MILENA

Middle

TRACI

Last Name

MASK

Business Name

MILENA TRACI MASK

Original Issue Date

07/15/2016

Effective Date

08/28/2022

Expiration Date

06/30/2024

City

MARIETTA

State

Zip

30064

Ever Disciplined

LastModifiedDate

02/05/2025