KIERRA JACKSON STUVLAND Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

NOT RENEWED

Business

First Name

KIERRA

Middle

JACKSON

Last Name

STUVLAND

Business Name

KIERRA JACKSON STUVLAND

Original Issue Date

08/16/2022

Effective Date

08/16/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025