JUSTINE E MUCCI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

INACTIVE

Business

First Name

JUSTINE

Middle

Last Name

MUCCI

Business Name

JUSTINE E MUCCI

Original Issue Date

08/25/2014

Effective Date

08/01/2022

Expiration Date

05/31/2024

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

08/01/2022