AMANDA SUSANNE JENKINS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

INACTIVE

Business

First Name

AMANDA

Middle

SUSANNE

Last Name

JENKINS

Business Name

AMANDA SUSANNE JENKINS

Original Issue Date

10/06/2016

Effective Date

07/08/2020

Expiration Date

05/31/2022

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2022