AGATHA JEFFERSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009416

License Status

INACTIVE

Business

First Name

AGATHA

Last Name

JEFFERSON

Business Name

AGATHA JEFFERSON

Original Issue Date

02/24/2012

Effective Date

05/29/2020

Expiration Date

05/31/2022

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2020