KRISTEN MARIE ENDERLE 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

KRISTEN

Middle

MARIE

Last Name

ENDERLE

Business Name

KRISTEN MARIE ENDERLE

Original Issue Date

11/13/2021

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026