MARK FAY GORTMAKER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026860

License Status

ACTIVE

Business

First Name

MARK

Middle

FAY

Last Name

GORTMAKER

Business Name

MARK FAY GORTMAKER

Original Issue Date

03/06/2023

Effective Date

04/26/2024

Expiration Date

05/31/2026

City

COLUMBIA

State

Zip

65203

County

BOONE

Ever Disciplined

LastModifiedDate

03/02/2026