KYLIE RUTH ERVIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

ACTIVE

Business

First Name

KYLIE

Middle

RUTH

Last Name

ERVIN

Business Name

KYLIE RUTH ERVIN

Original Issue Date

10/29/2023

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026