HEATHER D DAVIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

DAVIS

Business Name

HEATHER D DAVIS

Original Issue Date

11/26/2019

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026