TEDRA A LAWRENCE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

ACTIVE

Business

First Name

TEDRA

Middle

Last Name

LAWRENCE

Business Name

TEDRA A LAWRENCE

Original Issue Date

10/29/2024

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026