MARISSA L FROST Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

ACTIVE

Business

First Name

MARISSA

Middle

Last Name

FROST

Business Name

MARISSA L FROST

Original Issue Date

05/22/2021

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

DIXON

State

Zip

61021

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026