JENNIFER B DEEB Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

JENNIFER B

Last Name

DEEB

Business Name

JENNIFER B DEEB

Original Issue Date

03/28/2022

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026