MARISSA L FROST Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022022

License Status

ACTIVE

Business

First Name

MARISSA

Middle

Last Name

FROST

Business Name

MARISSA L FROST

Original Issue Date

09/16/2020

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026