NICOLE MARY MCMAHON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

INACTIVE

Business

First Name

NICOLE

Middle

MARY

Last Name

MCMAHON

Business Name

NICOLE MARY MCMAHON

Original Issue Date

03/11/2019

Effective Date

03/20/2020

Expiration Date

05/31/2022

City

MAYWOOD

State

Zip

60153

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2020