MARY NERISSA VAHLE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

INOPERATIVE

Business

First Name

MARY

Middle

NERISSA

Last Name

VAHLE

Business Name

MARY NERISSA VAHLE

Original Issue Date

09/29/2016

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/08/2020