JEFFREY DANIEL HENDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

DANIEL

Last Name

HENDERSON

Business Name

JEFFREY DANIEL HENDERSON

Original Issue Date

08/13/2024

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

HIGHLAND PARK

State

Zip

60035

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026