NEHA J JACKSON 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

NEHA

Middle

Last Name

JACKSON

Business Name

NEHA J JACKSON

Original Issue Date

11/18/2020

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026