JENELL DIANE JACKLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

ACTIVE

Business

First Name

JENELL

Middle

DIANE

Last Name

JACKLEY

Business Name

JENELL DIANE JACKLEY

Original Issue Date

12/21/2012

Effective Date

06/28/2024

Expiration Date

05/31/2026

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026