JAMIE J NIXON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

INACTIVE

Business

First Name

JAMIE

Middle

Last Name

NIXON

Business Name

JAMIE J NIXON

Original Issue Date

04/23/2012

Effective Date

03/25/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2018