MARISA AVILA SALAZAR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005122

License Status

ACTIVE

Business

First Name

MARISA

Middle

AVILA

Last Name

SALAZAR

Business Name

MARISA AVILA SALAZAR

Original Issue Date

05/21/2004

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

03/02/2026