MAFON FOMUJANG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****04

License Status

ACTIVE

Business

First Name

MAFON

Last Name

FOMUJANG

Business Name

MAFON FOMUJANG

Original Issue Date

07/13/2025

Effective Date

07/13/2025

Expiration Date

05/31/2026

City

BROOKSHIRE

State

Zip

77423

Ever Disciplined

LastModifiedDate

03/02/2026