REBEKKA J ROOT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

ACTIVE

Business

First Name

REBEKKA

Middle

Last Name

ROOT

Business Name

REBEKKA J ROOT

Original Issue Date

04/16/2020

Effective Date

06/18/2024

Expiration Date

05/31/2026

City

PRINCETON

State

Zip

61356

County

BUREAU

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026