MARY E DEVRIES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

DEVRIES

Business Name

MARY E DEVRIES

Original Issue Date

01/11/2018

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026