AGATHA JEFFERSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277001682

License Status

INACTIVE

Business

First Name

AGATHA

Last Name

JEFFERSON

Business Name

AGATHA JEFFERSON

Original Issue Date

11/04/2021

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2026