JENNIFER L MAHANNAH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

INACTIVE

Business

First Name

JENNIFER L

Last Name

MAHANNAH

Business Name

JENNIFER L MAHANNAH

Original Issue Date

10/20/2017

Effective Date

07/09/2022

Expiration Date

05/31/2024

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/09/2022