JENNIFER M DOUGLASS 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

JENNIFER

Middle

Last Name

DOUGLASS

Business Name

JENNIFER M DOUGLASS

Original Issue Date

07/21/2023

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2026