JENNIFER R SLEDGE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

SLEDGE

Business Name

JENNIFER R SLEDGE

Original Issue Date

05/15/2019

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2025