W CHRISTINE DAVIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

ACTIVE

Business

First Name

W CHRISTINE

Last Name

DAVIS

Business Name

W CHRISTINE DAVIS

Original Issue Date

10/28/2002

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

ELIZABETHTOWN

State

Zip

62931

County

HARDIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026