DEANNA L RODENBERG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

DEANNA

Middle

Last Name

RODENBERG

Business Name

DEANNA L RODENBERG

Original Issue Date

11/14/2012

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

RED BUD

State

Zip

62278

County

MONROE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026