MARY H COVEY COVENTRY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

NOT RENEWED

Business

First Name

MARY H COVEY

Last Name

COVENTRY

Business Name

MARY H COVEY COVENTRY

Original Issue Date

10/10/2001

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021