JILL N DEGEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

ACTIVE

Business

First Name

JILL

Middle

Last Name

DEGEN

Business Name

JILL N DEGEN

Original Issue Date

03/29/2011

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

03/02/2026