ANDREA PENDLETON ROSSOW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

ACTIVE

Business

First Name

ANDREA

Last Name

PENDLETON ROSSOW

Business Name

ANDREA PENDLETON ROSSOW

Original Issue Date

09/21/2004

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

DURAND

State

Zip

61024

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026