JOHNATHAN B REDDICK - Advanced Practice Nurse License in Kentucky | # 30*****59

JOHNATHAN B REDDICK

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

NOT RENEWED

Business

N

First Name

JOHNATHAN

Middle

B

Last Name

REDDICK

Business Name

JOHNATHAN B REDDICK

Original Issue Date

04/28/2022

Effective Date

04/28/2022

Expiration Date

06/30/2024

State

KY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/05/2025