PAMELA SUZANNE JACKS PORTNOY - Advanced Practice Nurse License in Illinois | # 209031587

PAMELA SUZANNE JACKS PORTNOY

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031587

License Status

INACTIVE

Business

N

First Name

PAMELA

Middle

SUZANNE JACKS

Last Name

PORTNOY

Business Name

PAMELA SUZANNE JACKS PORTNOY

Original Issue Date

02/06/2025

Effective Date

02/06/2025

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

02/10/2025