SUZIE FATOU JACKATEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

INACTIVE

Business

First Name

SUZIE

Middle

FATOU

Last Name

JACKATEY

Business Name

SUZIE FATOU JACKATEY

Original Issue Date

01/22/2019

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2024