ABBIGAIL KATHERINE JACKSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

INACTIVE

Business

First Name

ABBIGAIL

Middle

KATHERINE

Last Name

JACKSON

Business Name

ABBIGAIL KATHERINE JACKSON

Original Issue Date

10/17/2016

Effective Date

06/04/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60623

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2022