JACQUELINE M DEFFENBAUGH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002146

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

DEFFENBAUGH

Business Name

JACQUELINE M DEFFENBAUGH

Original Issue Date

07/02/2001

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/08/2020