MISTY L DEHAVEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INACTIVE

Business

First Name

MISTY

Middle

Last Name

DEHAVEN

Business Name

MISTY L DEHAVEN

Original Issue Date

02/02/2019

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/28/2025