ALYSSA MARIE MARTZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

MARIE

Last Name

MARTZ

Business Name

ALYSSA MARIE MARTZ

Original Issue Date

03/16/2017

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026