DESTINY R CRAVEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

ACTIVE

Business

First Name

DESTINY

Middle

Last Name

CRAVEN

Business Name

DESTINY R CRAVEN

Original Issue Date

08/05/2024

Effective Date

08/05/2024

Expiration Date

05/31/2026

City

PITTSFIELD

State

Zip

62363

County

PIKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026