JACQUELINE COFFER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

INACTIVE

Business

First Name

JACQUELINE

Last Name

COFFER

Business Name

JACQUELINE COFFER

Original Issue Date

02/09/2022

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

11/09/2025