KRISTEN J JACKSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

Last Name

JACKSON

Business Name

KRISTEN J JACKSON

Original Issue Date

11/06/2017

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

ELMWOOD

State

Zip

61529

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026