JAMIE L MABRY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

INACTIVE

Business

First Name

JAMIE

Middle

Last Name

MABRY

Business Name

JAMIE L MABRY

Original Issue Date

05/24/2006

Effective Date

04/21/2020

Expiration Date

05/31/2022

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

04/21/2020