JUSTIN MATTHEW JEFFERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025128

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

MATTHEW

Last Name

JEFFERSON

Business Name

JUSTIN MATTHEW JEFFERSON

Original Issue Date

04/14/2022

Effective Date

04/22/2024

Expiration Date

05/31/2026

City

PHILO

State

Zip

61864

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026