MARK MAXILOM DE CARVALHO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033961

License Status

INACTIVE

Business

First Name

MARK

Middle

MAXILOM

Last Name

DE CARVALHO

Business Name

MARK MAXILOM DE CARVALHO

Original Issue Date

11/12/2025

Effective Date

11/12/2025

Expiration Date

05/31/2026

City

HENDERSON

State

Zip

89002

Ever Disciplined

LastModifiedDate

11/12/2025