DEIDRE A LANGSTON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

DEIDRE

Middle

Last Name

LANGSTON

Business Name

DEIDRE A LANGSTON

Original Issue Date

06/12/2014

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

VANDALIA

State

Zip

62471

County

MARION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026