MARK JOHN REY GONZALES FIESTA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041595509

License Status

ACTIVE

Business

First Name

MARK JOHN REY

Middle

GONZALES

Last Name

FIESTA

Business Name

MARK JOHN REY GONZALES FIESTA

Original Issue Date

10/04/2025

Effective Date

10/04/2025

Expiration Date

05/31/2026

City

FORT WAYNE

State

Zip

46825

Ever Disciplined

LastModifiedDate

03/01/2026