JOAN L MASON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

JOAN L

Last Name

MASON

Business Name

JOAN L MASON

Original Issue Date

12/05/2019

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

TABLE GROVE

State

Zip

61482

County

FULTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026