MAFON FOMUJANG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029134

License Status

INACTIVE

Business

First Name

MAFON

Last Name

FOMUJANG

Business Name

MAFON FOMUJANG

Original Issue Date

12/28/2023

Effective Date

05/11/2024

Expiration Date

05/31/2026

City

BROOKSHIRE

State

Zip

77423

Ever Disciplined

LastModifiedDate

07/13/2025