DYLAN W STENNETT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

INACTIVE

Business

First Name

DYLAN

Middle

Last Name

STENNETT

Business Name

DYLAN W STENNETT

Original Issue Date

07/02/2015

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2024