ALIVIA R DERHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

ALIVIA

Middle

Last Name

DERHAM

Business Name

ALIVIA R DERHAM

Original Issue Date

03/07/2018

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

KNOXVILLE

State

Zip

61448

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026