LATIA RACHELLE SUMMERVILLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025042

License Status

ACTIVE

Business

First Name

LATIA

Middle

RACHELLE

Last Name

SUMMERVILLE

Business Name

LATIA RACHELLE SUMMERVILLE

Original Issue Date

04/02/2022

Effective Date

04/22/2024

Expiration Date

05/31/2026

City

TERRE HAUTE

State

Zip

47804

Ever Disciplined

LastModifiedDate

03/02/2026