KENDALL D S CHRISTIDIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

KENDALL

Middle

D S

Last Name

CHRISTIDIS

Business Name

KENDALL D S CHRISTIDIS

Original Issue Date

10/11/2022

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026