DIERDRE VIDEAU PAYNE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033877

License Status

ACTIVE

Business

First Name

DIERDRE

Middle

VIDEAU

Last Name

PAYNE

Business Name

DIERDRE VIDEAU PAYNE

Original Issue Date

11/04/2025

Effective Date

11/04/2025

Expiration Date

05/31/2026

City

LAKE HAVASU CITY

State

Zip

86403

Ever Disciplined

LastModifiedDate

03/02/2026