LA SHAWNNA C JACKSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

INACTIVE

Business

First Name

LA SHAWNNA

Middle

Last Name

JACKSON

Business Name

LA SHAWNNA C JACKSON

Original Issue Date

12/02/2021

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2024