MICHELLE E JORDAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

NOT RENEWED

Business

First Name

MICHELLE E

Last Name

JORDAN

Business Name

MICHELLE E JORDAN

Original Issue Date

01/29/2021

Effective Date

01/29/2021

Expiration Date

08/31/2022

City

LAGRANGE PARK

State

Zip

60526

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022