JACOB LARRY CARLSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022685

License Status

ACTIVE

Business

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

City

BELLEVILLE

State

Zip

62221

Ever Disciplined

LastModifiedDate

03/02/2026