MICHAELA ADDISON DAVIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024151

License Status

INACTIVE

Business

First Name

MICHAELA

Middle

ADDISON

Last Name

DAVIS

Business Name

MICHAELA ADDISON DAVIS

Original Issue Date

10/05/2021

Effective Date

04/09/2024

Expiration Date

05/31/2026

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

01/14/2025