ALEXANDRA L HUDDLESTON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

Last Name

HUDDLESTON

Business Name

ALEXANDRA L HUDDLESTON

Original Issue Date

11/18/2020

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

TAYLORVILLE

State

Zip

62568

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026