CASEY A.T DIVELY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015986

License Status

ACTIVE

Business

First Name

CASEY

Middle

A.T

Last Name

DIVELY

Business Name

CASEY A.T DIVELY

Original Issue Date

05/10/2017

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

03/02/2026