MARISSA P MAHAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021387

License Status

ACTIVE

Business

First Name

MARISSA

Middle

Last Name

MAHAN

Prefix

Business Name

MARISSA P MAHAN

Original Issue Date

06/06/2020

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026