JENNIE R HACKMAN 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

JENNIE

Middle

Last Name

HACKMAN

Business Name

JENNIE R HACKMAN

Original Issue Date

03/31/2020

Effective Date

05/18/2024

Expiration Date

05/31/2026

City

PLAINFIELD

State

Zip

60585

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026