DERENDA MARIE BEASLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

DERENDA

Middle

MARIE

Last Name

BEASLEY

Business Name

DERENDA MARIE BEASLEY

Original Issue Date

05/09/2022

Effective Date

06/23/2024

Expiration Date

05/31/2026

City

SLOCOMB

State

Zip

36375

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026