DESTINY R DANNELLS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

ACTIVE

Business

First Name

DESTINY

Middle

Last Name

DANNELLS

Business Name

DESTINY R DANNELLS

Original Issue Date

11/01/2019

Effective Date

04/09/2024

Expiration Date

05/31/2026

City

FLORA

State

Zip

62839

County

RICHLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026