JENNIFER L JEPSEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

JEPSEN

Business Name

JENNIFER L JEPSEN

Original Issue Date

04/24/2019

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026