MARY C ZIMMER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

ZIMMER

Business Name

MARY C ZIMMER

Original Issue Date

11/30/2016

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026