MARY E NOVOTNY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013360

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

NOVOTNY

Business Name

MARY E NOVOTNY

Original Issue Date

09/16/2015

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

Ever Disciplined

LastModifiedDate

03/02/2026