MARY K COOK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

ACTIVE

Business

First Name

MARY K

Last Name

COOK

Business Name

MARY K COOK

Original Issue Date

03/02/2004

Effective Date

03/25/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026