CHRISTIEJEAN MONTGOMERY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

ACTIVE

Business

First Name

CHRISTIEJEAN

Last Name

MONTGOMERY

Business Name

CHRISTIEJEAN MONTGOMERY

Original Issue Date

04/11/2023

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026