MARIBETH J MCCORMACK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012621

License Status

NOT RENEWED

Business

First Name

MARIBETH

Middle

Last Name

MCCORMACK

Business Name

MARIBETH J MCCORMACK

Original Issue Date

02/26/2015

Effective Date

11/15/2021

Expiration Date

08/31/2022

City

LAKE STLOUIS

State

Zip

63367

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022