KRISTIN ANNE CHILDERS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

ANNE

Last Name

CHILDERS

Business Name

KRISTIN ANNE CHILDERS

Original Issue Date

04/30/2019

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

GODFREY

State

Zip

62035

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026