JENNIFER A GARDNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

GARDNER

Business Name

JENNIFER A GARDNER

Original Issue Date

03/18/2019

Effective Date

03/18/2019

Expiration Date

09/30/2020

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021