KELLY SUE MIXON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014389

License Status

INACTIVE

Business

First Name

KELLY

Middle

SUE

Last Name

MIXON

Business Name

KELLY SUE MIXON

Original Issue Date

06/28/2016

Effective Date

07/22/2022

Expiration Date

05/31/2024

City

MONTGOMERY

State

Zip

77316

Ever Disciplined

LastModifiedDate

04/16/2024