LAURA RACHEL JARVIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

INACTIVE

Business

First Name

LAURA

Middle

RACHEL

Last Name

JARVIS

Business Name

LAURA RACHEL JARVIS

Original Issue Date

09/27/2017

Effective Date

07/30/2022

Expiration Date

05/31/2024

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023