JENNIFER A HENDRICKS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

HENDRICKS

Business Name

JENNIFER A HENDRICKS

Original Issue Date

02/18/2005

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2018