DELOVELY JACKSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

INACTIVE

Business

First Name

DELOVELY

Last Name

JACKSON

Business Name

DELOVELY JACKSON

Original Issue Date

04/28/2016

Effective Date

06/29/2020

Expiration Date

05/31/2022

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

06/29/2020