MARK JOHN VANVIEGEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028807

License Status

ACTIVE

Business

First Name

MARK

Middle

JOHN

Last Name

VANVIEGEN

Business Name

MARK JOHN VANVIEGEN

Original Issue Date

11/14/2023

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

BUFFALO

State

Zip

14222

Ever Disciplined

LastModifiedDate

03/02/2026