DONNA WHITE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

INOPERATIVE

Business

First Name

DONNA

Last Name

WHITE

Business Name

DONNA WHITE

Original Issue Date

11/16/2021

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

MADISON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026