REBEKAH J RIDGEWAY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

REBEKAH

Middle

Last Name

RIDGEWAY

Business Name

REBEKAH J RIDGEWAY

Original Issue Date

12/19/2018

Effective Date

06/01/2024

Expiration Date

05/31/2026

City

LEWISTOWN

State

Zip

61542

County

FULTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026