KORY JACKSON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

INOPERATIVE

Business

First Name

KORY

Last Name

JACKSON

Business Name

KORY JACKSON

Original Issue Date

06/27/2016

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

GERMANTOWN HILLS

State

Zip

61548

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2024