JENIA ROCHELLE HEAVENS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

JENIA

Middle

ROCHELLE

Last Name

HEAVENS

Business Name

JENIA ROCHELLE HEAVENS

Original Issue Date

01/14/2015

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

GRANITE CITY

State

Zip

62040

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026