MITZI A BUCKMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

INACTIVE

Business

First Name

MITZI

Middle

Last Name

BUCKMAN

Business Name

MITZI A BUCKMAN

Original Issue Date

09/04/2019

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024