DEANA MARIE MAYER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

DEANA

Middle

MARIE

Last Name

MAYER

Business Name

DEANA MARIE MAYER

Original Issue Date

08/01/2017

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026