JILL R WHITLOCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

WHITLOCK

Business Name

JILL R WHITLOCK

Original Issue Date

08/07/2013

Effective Date

08/09/2022

Expiration Date

06/30/2024

City

ELDRED

State

Zip

62027

County

PIKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025