MAYCEN E WISEMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022720

License Status

ACTIVE

Business

First Name

MAYCEN

Middle

Last Name

WISEMAN

Business Name

MAYCEN E WISEMAN

Original Issue Date

01/19/2021

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026