LAURA M MAHAFFEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

MAHAFFEY

Business Name

LAURA M MAHAFFEY

Original Issue Date

11/20/2018

Effective Date

09/01/2020

Expiration Date

08/31/2022

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022