JESSE LEE HENNEBERG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009916

License Status

ACTIVE

Business

First Name

JESSE

Middle

LEE

Last Name

HENNEBERG

Business Name

JESSE LEE HENNEBERG

Original Issue Date

10/12/2012

Effective Date

03/25/2024

Expiration Date

05/31/2026

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/02/2026