BENJAMIN J SIDWELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013874

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

SIDWELL

Business Name

BENJAMIN J SIDWELL

Original Issue Date

02/16/2016

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

GLEN CARBON

State

Zip

62034

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/02/2026