AGNES ANNE FENNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014954

License Status

ACTIVE

Business

First Name

AGNES

Middle

ANNE

Last Name

FENNER

Business Name

AGNES ANNE FENNER

Original Issue Date

10/12/2016

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/04/2026