MADDALENA L DAVENPORT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

ACTIVE

Business

First Name

MADDALENA

Middle

Last Name

DAVENPORT

Business Name

MADDALENA L DAVENPORT

Original Issue Date

09/10/2024

Effective Date

09/10/2024

Expiration Date

05/31/2026

City

ROANOKE

State

Zip

61561

County

WOODFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026