JAVDA MIASHA WILSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

JAVDA

Middle

MIASHA

Last Name

WILSON

Business Name

JAVDA MIASHA WILSON

Original Issue Date

10/19/2023

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026