DAVID THOMAS JORDAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

ACTIVE

Business

First Name

DAVID

Middle

THOMAS

Last Name

JORDAN

Business Name

DAVID THOMAS JORDAN

Original Issue Date

04/04/2023

Effective Date

04/07/2024

Expiration Date

05/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026