MACKENZIE E WAIDE-FAFORD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043138033

License Status

ACTIVE

Business

First Name

MACKENZIE

Middle

Last Name

WAIDE-FAFORD

Business Name

MACKENZIE E WAIDE-FAFORD

Original Issue Date

08/18/2025

Effective Date

08/18/2025

Expiration Date

01/31/2027

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

08/04/2025