DEREK J HUMPHRES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025607

License Status

ACTIVE

Business

First Name

DEREK

Middle

Last Name

HUMPHRES

Business Name

DEREK J HUMPHRES

Original Issue Date

07/20/2023

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/02/2026