KARAGEN GRACE FANDEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

ACTIVE

Business

First Name

KARAGEN

Middle

GRACE

Last Name

FANDEL

Business Name

KARAGEN GRACE FANDEL

Original Issue Date

10/30/2024

Effective Date

03/16/2026

Expiration Date

05/31/2028

City

ROANOKE

State

Zip

61561

County

WOODFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2026