TIMOTHY A MACK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033671

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

MACK

Business Name

TIMOTHY A MACK

Original Issue Date

10/26/2025

Effective Date

10/26/2025

Expiration Date

05/31/2026

City

LEANDER

State

Zip

78641

Ever Disciplined

LastModifiedDate

01/13/2026