BRIDGETTE A WOODALL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

ACTIVE

Business

First Name

BRIDGETTE

Middle

Last Name

WOODALL

Business Name

BRIDGETTE A WOODALL

Original Issue Date

07/07/2016

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

DIXON

State

Zip

61021

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026