FABIENNE N WITHERSPOON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

ACTIVE

Business

First Name

FABIENNE

Middle

Last Name

WITHERSPOON

Business Name

FABIENNE N WITHERSPOON

Original Issue Date

10/26/2012

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

GEORGETOWN

State

Zip

61846

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026