SARA MARIE GUDENKAUF Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

NOT RENEWED

Business

First Name

SARA

Middle

MARIE

Last Name

GUDENKAUF

Business Name

SARA MARIE GUDENKAUF

Original Issue Date

05/03/2019

Effective Date

05/03/2019

Expiration Date

09/30/2020

City

HAMILTON

State

Zip

62341

County

HANCOCK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021