SAMANTHA RAE JACKSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017975

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

RAE

Last Name

JACKSON

Business Name

SAMANTHA RAE JACKSON

Original Issue Date

08/24/2018

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/02/2026