CLAIRE ELIZABETH HENTZE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

CLAIRE

Middle

ELIZABETH

Last Name

HENTZE

Business Name

CLAIRE ELIZABETH HENTZE

Original Issue Date

12/04/2023

Effective Date

05/22/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/22/2024