MARILYN A PRASUN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

INOPERATIVE

Business

First Name

MARILYN

Middle

Last Name

PRASUN

Business Name

MARILYN A PRASUN

Original Issue Date

08/01/2001

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/24/2024