JASON P TACKETT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

ACTIVE

Business

First Name

JASON

Middle

Last Name

TACKETT

Business Name

JASON P TACKETT

Original Issue Date

01/24/2025

Effective Date

01/24/2025

Expiration Date

05/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026