JENNA MARIE WHITEHEAD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

ACTIVE

Business

First Name

JENNA

Middle

MARIE

Last Name

WHITEHEAD

Business Name

JENNA MARIE WHITEHEAD

Original Issue Date

12/07/2021

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026