PAMELA S JELLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

PAMELA

Middle

Last Name

JELLEN

Business Name

PAMELA S JELLEN

Original Issue Date

03/16/2017

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026