CYNTHIA A JACK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009900

License Status

INACTIVE

Business

First Name

CYNTHIA A

Last Name

JACK

Business Name

CYNTHIA A JACK

Original Issue Date

10/10/2012

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026