ALIVIA R DERHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017147

License Status

ACTIVE

Business

First Name

ALIVIA

Middle

Last Name

DERHAM

Business Name

ALIVIA R DERHAM

Original Issue Date

01/18/2018

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

KNOXVILLE

State

Zip

61448

County

KNOX

Ever Disciplined

LastModifiedDate

03/04/2026