MARK A THETFORD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025387

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

THETFORD

Business Name

MARK A THETFORD

Original Issue Date

06/27/2022

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/02/2026