RETUNDA JACKSON-PHIFFER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

ACTIVE

Business

First Name

RETUNDA

Last Name

JACKSON-PHIFFER

Business Name

RETUNDA JACKSON-PHIFFER

Original Issue Date

11/15/2024

Effective Date

11/15/2024

Expiration Date

05/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026