BETH A DAVISON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

ACTIVE

Business

First Name

BETH

Middle

Last Name

DAVISON

Business Name

BETH A DAVISON

Original Issue Date

01/23/2026

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

CENTRALIA

State

Zip

62801

County

MARION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026