LAUREN KATHRYN SIDWELL 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

LAUREN

Middle

KATHRYN

Last Name

SIDWELL

Business Name

LAUREN KATHRYN SIDWELL

Original Issue Date

07/01/2021

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026