KENDAL M JUSTICE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

KENDAL

Middle

Last Name

JUSTICE

Business Name

KENDAL M JUSTICE

Original Issue Date

07/05/2024

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026