CARMEN R JASSO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

CARMEN

Middle

Last Name

JASSO

Business Name

CARMEN R JASSO

Original Issue Date

07/12/2021

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

JOLIET

State

Zip

60431

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026