JACLYN K TAVERNA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

INACTIVE

Business

First Name

JACLYN

Middle

Last Name

TAVERNA

Business Name

JACLYN K TAVERNA

Original Issue Date

08/02/2011

Effective Date

06/10/2020

Expiration Date

05/31/2022

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/10/2020