MADDALENA L DAVENPORT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030516

License Status

ACTIVE

Business

First Name

MADDALENA

Middle

Last Name

DAVENPORT

Business Name

MADDALENA L DAVENPORT

Original Issue Date

09/10/2024

Effective Date

09/10/2024

Expiration Date

05/31/2026

City

LADD

State

Zip

61329

County

BUREAU

Ever Disciplined

LastModifiedDate

03/02/2026