MARY J DORENCZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

DORENCZ

Business Name

MARY J DORENCZ

Original Issue Date

06/08/2010

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

OTSEGO

State

Zip

49078

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021