MARIAH K CHARLES Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

NOT RENEWED

Business

First Name

MARIAH

Middle

Last Name

CHARLES

Business Name

MARIAH K CHARLES

Original Issue Date

01/05/2011

Effective Date

02/06/2019

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/14/2021