SARA NICOLE KOENEMANN 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

SARA

Middle

NICOLE

Last Name

KOENEMANN

Business Name

SARA NICOLE KOENEMANN

Original Issue Date

10/24/2025

Effective Date

10/24/2025

Expiration Date

05/31/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026