HEATHER A MAHSMAN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

INOPERATIVE

Business

First Name

HEATHER

Middle

Last Name

MAHSMAN

Business Name

HEATHER A MAHSMAN

Original Issue Date

04/22/2021

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2024