JACQUELYN V SAENGMANY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

INACTIVE

Business

First Name

JACQUELYN

Middle

Last Name

SAENGMANY

Business Name

JACQUELYN V SAENGMANY

Original Issue Date

12/20/2016

Effective Date

05/04/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2025