MARY L BROOKS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

BROOKS

Business Name

MARY L BROOKS

Original Issue Date

06/22/2017

Effective Date

06/30/2022

Expiration Date

05/31/2024

City

RAYMOND

State

Zip

62560

County

MONTGOMERY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/13/2023