SPENCER JOHN MARES Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

INACTIVE

Business

First Name

SPENCER

Middle

JOHN

Last Name

MARES

Business Name

SPENCER JOHN MARES

Original Issue Date

10/15/2018

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

04/06/2020