TYRA B JACKSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

ACTIVE

Business

First Name

TYRA

Middle

Last Name

JACKSON

Business Name

TYRA B JACKSON

Original Issue Date

12/29/2025

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

BOLINGBROOK

State

Zip

60440

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026