MARK MYCO M REYES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041513685

License Status

NOT RENEWED

Business

First Name

MARK MYCO

Middle

Last Name

REYES

Business Name

MARK MYCO M REYES

Original Issue Date

08/04/2021

Effective Date

06/17/2022

Expiration Date

06/30/2024

City

FORT WAYNE

State

Zip

46818

Ever Disciplined

LastModifiedDate

02/05/2025