NORMA MAXINE JACKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

NOT RENEWED

Business

First Name

NORMA

Middle

MAXINE

Last Name

JACKSON

Business Name

NORMA MAXINE JACKSON

Original Issue Date

07/07/2008

Effective Date

05/18/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60616

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022