JENNIFER M EIDE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

NOT RENEWED

Business

First Name

JENNIFER M

Last Name

EIDE

Business Name

JENNIFER M EIDE

Original Issue Date

12/08/2011

Effective Date

09/23/2020

Expiration Date

08/31/2022

City

STERLING

State

Zip

61081

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022