ASHLEY JACKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

NOT RENEWED

Business

First Name

ASHLEY

Last Name

JACKSON

Business Name

ASHLEY JACKSON

Original Issue Date

01/20/2022

Effective Date

08/31/2022

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025