JORDYN N DORMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

ACTIVE

Business

First Name

JORDYN

Middle

Last Name

DORMAN

Business Name

JORDYN N DORMAN

Original Issue Date

02/14/2022

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026