JENNIFER M VAN AUTREVE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

VAN AUTREVE

Business Name

JENNIFER M VAN AUTREVE

Original Issue Date

08/20/2024

Effective Date

08/20/2024

Expiration Date

05/31/2026

City

WASHINGTON

State

Zip

61571

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026