KATRINA ELIZABETH WIEDENFELD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

KATRINA

Middle

ELIZABETH

Last Name

WIEDENFELD

Business Name

KATRINA ELIZABETH WIEDENFELD

Original Issue Date

10/31/2025

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026