AMBER L WENNERSTROM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

ACTIVE

Business

First Name

AMBER

Middle

Last Name

WENNERSTROM

Business Name

AMBER L WENNERSTROM

Original Issue Date

06/26/2020

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

CARLYLE

State

Zip

62231

County

CLINTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026