CHRISTINE A ANDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

ACTIVE

Business

First Name

CHRISTINE A

Last Name

ANDERSON

Business Name

CHRISTINE A ANDERSON

Original Issue Date

06/07/2005

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026