MARINA DEATHERAGE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

ACTIVE

Business

First Name

MARINA

Last Name

DEATHERAGE

Business Name

MARINA DEATHERAGE

Original Issue Date

11/23/2019

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2026