JENNIFER SHINE HERTER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

SHINE

Last Name

HERTER

Business Name

JENNIFER SHINE HERTER

Original Issue Date

12/04/2013

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

BELLEVILLE

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2024