JENNIFER ALEXIS RACINE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

ALEXIS

Last Name

RACINE

Business Name

JENNIFER ALEXIS RACINE

Original Issue Date

05/17/2016

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026