ANN MARIE DAVIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

INACTIVE

Business

First Name

ANN

Middle

MARIE

Last Name

DAVIS

Business Name

ANN MARIE DAVIS

Original Issue Date

02/25/2013

Effective Date

04/06/2020

Expiration Date

08/31/2022

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2022