JACLYN L BARNHOUSE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

ACTIVE

Business

First Name

JACLYN

Middle

Last Name

BARNHOUSE

Business Name

JACLYN L BARNHOUSE

Original Issue Date

03/30/2022

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026