JENNIFER RENEE STOLLER 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

JENNIFER

Middle

RENEE

Last Name

STOLLER

Business Name

JENNIFER RENEE STOLLER

Original Issue Date

04/20/2023

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

ROANOKE

State

Zip

61561

County

WOODFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026