ASHLEY N DIVINE 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

ASHLEY

Middle

Last Name

DIVINE

Business Name

ASHLEY N DIVINE

Original Issue Date

09/02/2022

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026