LISA R JACKSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

JACKSON

Business Name

LISA R JACKSON

Original Issue Date

04/15/2005

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026