SPENCER JOHN MARES Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

INACTIVE

Business

First Name

SPENCER

Middle

JOHN

Last Name

MARES

Business Name

SPENCER JOHN MARES

Original Issue Date

03/12/2019

Effective Date

03/12/2019

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2020