AMBER M PENDEGRAFT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

INACTIVE

Business

First Name

AMBER

Middle

Last Name

PENDEGRAFT

Business Name

AMBER M PENDEGRAFT

Original Issue Date

01/15/2020

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2024