MARINA DEATHERAGE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020317

License Status

ACTIVE

Business

First Name

MARINA

Last Name

DEATHERAGE

Business Name

MARINA DEATHERAGE

Original Issue Date

10/28/2019

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

FOX LAKE

State

Zip

60020

County

LAKE

Ever Disciplined

LastModifiedDate

03/23/2026