JODI RENEE LUTZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

ACTIVE

Business

First Name

JODI

Middle

RENEE

Last Name

LUTZ

Business Name

JODI RENEE LUTZ

Original Issue Date

01/24/2022

Effective Date

03/09/2024

Expiration Date

05/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026