HEATHER L IRVIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

IRVIN

Business Name

HEATHER L IRVIN

Original Issue Date

12/13/2023

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

FLORA

State

Zip

62839

County

CLAY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026