HEATHER DAVENPORT SMALL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020797

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

DAVENPORT

Last Name

SMALL

Business Name

HEATHER DAVENPORT SMALL

Original Issue Date

02/05/2020

Effective Date

02/05/2020

Expiration Date

09/30/2020

City

GRIMESLAND

State

Zip

27837

Ever Disciplined

LastModifiedDate

01/14/2021