SARA A JACKSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

SARA

Middle

Last Name

JACKSON

Business Name

SARA A JACKSON

Original Issue Date

01/12/2015

Effective Date

03/30/2024

Expiration Date

05/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026