MINDY M DUDENBOSTEL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

INACTIVE

Business

First Name

MINDY

Middle

Last Name

DUDENBOSTEL

Business Name

MINDY M DUDENBOSTEL

Original Issue Date

08/24/2016

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

CHESTER

State

Zip

62233

County

RANDOLPH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2024