DANELLE LYN JACKSON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

INOPERATIVE

Business

First Name

DANELLE

Middle

LYN

Last Name

JACKSON

Business Name

DANELLE LYN JACKSON

Original Issue Date

08/08/2013

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

CHARLESTON

State

Zip

61920

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2024