SHAWNTELL M JACKSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

INACTIVE

Business

First Name

SHAWNTELL

Middle

Last Name

JACKSON

Business Name

SHAWNTELL M JACKSON

Original Issue Date

05/26/2020

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2025