MICHAELA ADDISON DAVIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

INACTIVE

Business

First Name

MICHAELA

Middle

ADDISON

Last Name

DAVIS

Business Name

MICHAELA ADDISON DAVIS

Original Issue Date

11/24/2021

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

01/14/2025