PAMELA SUZANNE JACKS PORTNOY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031587

License Status

INACTIVE

Business

First Name

PAMELA

Middle

SUZANNE JACKS

Last Name

PORTNOY

Business Name

PAMELA SUZANNE JACKS PORTNOY

Original Issue Date

02/06/2025

Effective Date

02/06/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

02/10/2025