JACQUELINE M DEFFENBAUGH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000799

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

DEFFENBAUGH

Business Name

JACQUELINE M DEFFENBAUGH

Original Issue Date

06/10/2020

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/02/2026