JENNA L DIVELY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033183

License Status

ACTIVE

Business

First Name

JENNA

Middle

Last Name

DIVELY

Business Name

JENNA L DIVELY

Original Issue Date

09/09/2025

Effective Date

09/09/2025

Expiration Date

05/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

03/02/2026