JENNIFER FEDER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

JENNIFER

Last Name

FEDER

Business Name

JENNIFER FEDER

Original Issue Date

02/02/2023

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026