MARY NERISSA VAHLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014924

License Status

NOT RENEWED

Business

First Name

MARY

Middle

NERISSA

Last Name

VAHLE

Business Name

MARY NERISSA VAHLE

Original Issue Date

09/29/2016

Effective Date

03/27/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

01/14/2021