EMILY E FEENSTRA 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

EMILY

Middle

Last Name

FEENSTRA

Business Name

EMILY E FEENSTRA

Original Issue Date

02/07/2022

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

PITTSFIELD

State

Zip

62363

County

PIKE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/04/2026