KRISTINE L BENAVIDES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

Last Name

BENAVIDES

Business Name

KRISTINE L BENAVIDES

Original Issue Date

06/12/2019

Effective Date

03/21/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/21/2026