JENNIFER K FOGLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

FOGLE

Business Name

JENNIFER K FOGLE

Original Issue Date

09/21/2017

Effective Date

05/11/2022

Expiration Date

05/31/2024

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2022