LEESA JEAN JOST Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

ACTIVE

Business

First Name

LEESA

Middle

JEAN

Last Name

JOST

Business Name

LEESA JEAN JOST

Original Issue Date

11/22/2019

Effective Date

06/21/2024

Expiration Date

05/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026