DESTINY A WILSON 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

DESTINY

Middle

Last Name

WILSON

Business Name

DESTINY A WILSON

Original Issue Date

12/14/2016

Effective Date

06/28/2024

Expiration Date

05/31/2026

City

SPARTA

State

Zip

62286

County

RANDOLPH

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026