ANNETTE T KENNEDY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

ANNETTE

Middle

Last Name

KENNEDY

Business Name

ANNETTE T KENNEDY

Original Issue Date

04/15/2011

Effective Date

04/16/2024

Expiration Date

05/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026