MISTY L DEHAVEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018358

License Status

INACTIVE

Business

First Name

MISTY

Middle

Last Name

DEHAVEN

Business Name

MISTY L DEHAVEN

Original Issue Date

10/05/2018

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

RIDOTT

State

Zip

61067

Ever Disciplined

LastModifiedDate

10/28/2025