SELENA M CHRISTIANSEN 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

SELENA

Middle

Last Name

CHRISTIANSEN

Business Name

SELENA M CHRISTIANSEN

Original Issue Date

09/19/2024

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026