WAYLON C JACKSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012693

License Status

ACTIVE

Business

First Name

WAYLON

Middle

Last Name

JACKSON

Business Name

WAYLON C JACKSON

Original Issue Date

03/25/2015

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/21/2024