DEIDRA D ANDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

DEIDRA

Middle

Last Name

ANDERSON

Business Name

DEIDRA D ANDERSON

Original Issue Date

10/24/2023

Effective Date

03/25/2024

Expiration Date

05/31/2026

City

CANTON

State

Zip

61520

County

FULTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026