KATHERINE JO MARTIN BREDAHL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

Last Name

MARTIN BREDAHL

Business Name

KATHERINE JO MARTIN BREDAHL

Original Issue Date

04/11/2024

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026