TIA R MIXER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043128738

License Status

ACTIVE

Business

First Name

TIA

Middle

Last Name

MIXER

Business Name

TIA R MIXER

Original Issue Date

04/27/2020

Effective Date

12/13/2024

Expiration Date

01/31/2027

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

12/13/2024