MARISSA A ONTIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

ACTIVE

Business

First Name

MARISSA

Middle

Last Name

ONTIS

Business Name

MARISSA A ONTIS

Original Issue Date

03/27/2023

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

ALTON

State

Zip

62002

County

JERSEY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026