JENNA NICOLE FORD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011547

License Status

ACTIVE

Business

First Name

JENNA

Middle

NICOLE

Last Name

FORD

Business Name

JENNA NICOLE FORD

Original Issue Date

05/22/2014

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

03/02/2026