MARY JO MIXTACKI Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041198193

License Status

ACTIVE

Business

First Name

MARY JO

Last Name

MIXTACKI

Business Name

MARY JO MIXTACKI

Original Issue Date

11/17/1980

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

SEVERANCE

State

Zip

80550

Ever Disciplined

LastModifiedDate

03/04/2026