JASON DWIGHT OSBORNE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

NOT RENEWED

Business

First Name

JASON

Middle

DWIGHT

Last Name

OSBORNE

Business Name

JASON DWIGHT OSBORNE

Original Issue Date

04/22/2023

Effective Date

04/22/2023

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025