THEOPHILUS MASON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

INOPERATIVE

Business

First Name

THEOPHILUS

Last Name

MASON

Business Name

THEOPHILUS MASON

Original Issue Date

04/25/2022

Effective Date

04/25/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2024