HEATHER MARVIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

HEATHER

Last Name

MARVIN

Business Name

HEATHER MARVIN

Original Issue Date

04/22/2019

Effective Date

08/18/2022

Expiration Date

06/30/2024

City

SYCAMORE

State

Zip

60178

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025