MASON SPITZNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

MASON

Last Name

SPITZNER

Business Name

MASON SPITZNER

Original Issue Date

11/07/2025

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026