JAMILLAH LATRICE FERGUSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

NOT RENEWED

Business

First Name

JAMILLAH

Middle

LATRICE

Last Name

FERGUSON

Business Name

JAMILLAH LATRICE FERGUSON

Original Issue Date

07/07/2016

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60609

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021