KRYSTEN T WHITEHEAD 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

KRYSTEN

Middle

Last Name

WHITEHEAD

Business Name

KRYSTEN T WHITEHEAD

Original Issue Date

11/05/2023

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026