JACOB LARRY CARLSON - Advanced Practice Nurse License in Illinois | # 209022685

JACOB LARRY CARLSON

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022685

License Status

ACTIVE

Business

N

First Name

JACOB

Middle

LARRY

Last Name

CARLSON

Business Name

JACOB LARRY CARLSON

Original Issue Date

01/13/2021

Effective Date

03/22/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026