JAYDA L KOSYDOR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

JAYDA

Middle

Last Name

KOSYDOR

Business Name

JAYDA L KOSYDOR

BusinessDBA

JAYDA RENDLEMAN

Original Issue Date

05/07/2021

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026