JESSICA ELAINE HENKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

ELAINE

Last Name

HENKE

Business Name

JESSICA ELAINE HENKE

Original Issue Date

06/30/2016

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021