JILL R WHITLOCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

WHITLOCK

Business Name

JILL R WHITLOCK

Original Issue Date

02/25/2019

Effective Date

02/25/2019

Expiration Date

09/30/2020

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021