MARY THERESA SIMON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020353

License Status

INACTIVE

Business

First Name

MARY

Middle

THERESA

Last Name

SIMON

Business Name

MARY THERESA SIMON

Original Issue Date

10/31/2019

Effective Date

10/31/2019

Expiration Date

09/30/2020

City

ALBRIGHTSVILLE

State

Zip

18210

Ever Disciplined

LastModifiedDate

10/31/2019