RENEE J DAHM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

INACTIVE

Business

First Name

RENEE

Middle

Last Name

DAHM

Business Name

RENEE J DAHM

Original Issue Date

09/25/2014

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2024