DIETRA L ANGELLY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277002986

License Status

ACTIVE

Business

First Name

DIETRA L

Last Name

ANGELLY

Business Name

DIETRA L ANGELLY

Original Issue Date

02/29/2024

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CARRIER MILLS

State

Zip

62917

County

SALINE

Ever Disciplined

LastModifiedDate

03/05/2026