MARY KATHRYN EVANGELISTA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020488

License Status

INACTIVE

Business

First Name

MARY

Middle

KATHRYN

Last Name

EVANGELISTA

Business Name

MARY KATHRYN EVANGELISTA

Original Issue Date

11/19/2019

Effective Date

05/04/2022

Expiration Date

05/31/2024

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

03/31/2023