COURTNEY G SPIVEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

Last Name

SPIVEY

Business Name

COURTNEY G SPIVEY

Original Issue Date

09/18/2020

Effective Date

07/19/2022

Expiration Date

06/30/2024

City

ROSICLARE

State

Zip

62982

County

HARDIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025