JENNIFER A BERKLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

ACTIVE

Business

First Name

JENNIFER A

Last Name

BERKLEY

Business Name

JENNIFER A BERKLEY

Original Issue Date

10/31/2012

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026