JOURDAN WILLIAM GREENE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

ACTIVE

Business

First Name

JOURDAN

Middle

WILLIAM

Last Name

GREENE

Business Name

JOURDAN WILLIAM GREENE

Original Issue Date

06/05/2024

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026