JENNIFER L ROBERG 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

JENNIFER

Middle

Last Name

ROBERG

Business Name

JENNIFER L ROBERG

Original Issue Date

08/15/2019

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2025