JENNIFER K FOGLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016606

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

FOGLE

Business Name

JENNIFER K FOGLE

Original Issue Date

09/20/2017

Effective Date

05/11/2022

Expiration Date

05/31/2024

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

05/11/2022