MARISA MEDINA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018928

License Status

INACTIVE

Business

First Name

MARISA

Last Name

MEDINA

Business Name

MARISA MEDINA

Original Issue Date

03/05/2019

Effective Date

09/04/2020

Expiration Date

05/31/2022

City

CHANNAHON

State

Zip

60410

Ever Disciplined

LastModifiedDate

11/23/2021