JORDAN MARIE HENDRICKS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

JORDAN

Middle

MARIE

Last Name

HENDRICKS

Business Name

JORDAN MARIE HENDRICKS

Original Issue Date

09/19/2022

Effective Date

04/28/2024

Expiration Date

05/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026