MARIAH K CHARLES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

ACTIVE

Business

First Name

MARIAH

Middle

Last Name

CHARLES

Business Name

MARIAH K CHARLES

Original Issue Date

10/06/2011

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

COULTERVILLE

State

Zip

62237

County

PERRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2026