JENNIFER H BENTERS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

BENTERS

Business Name

JENNIFER H BENTERS

Original Issue Date

08/29/2014

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2025