JAMILLAH LATRICE FERGUSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013437

License Status

NOT RENEWED

Business

First Name

JAMILLAH

Middle

LATRICE

Last Name

FERGUSON

Business Name

JAMILLAH LATRICE FERGUSON

Original Issue Date

10/16/2015

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021