MARY K CONKLEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004431

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

CONKLEN

Business Name

MARY K CONKLEN

Original Issue Date

08/21/2002

Effective Date

08/24/2020

Expiration Date

05/31/2022

City

NEW HOLLAND

State

Zip

62671

County

LOGAN

Ever Disciplined

LastModifiedDate

08/24/2020