NANCY G DAGEFOERDE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

ACTIVE

Business

First Name

NANCY G

Last Name

DAGEFOERDE

Business Name

NANCY G DAGEFOERDE

Original Issue Date

08/17/2001

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026