ANNETTA M NORDSTROM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

ACTIVE

Business

First Name

ANNETTA

Middle

Last Name

NORDSTROM

Business Name

ANNETTA M NORDSTROM

Original Issue Date

09/10/2013

Effective Date

04/22/2024

Expiration Date

05/31/2026

City

GENESEO

State

Zip

61254

County

HENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026