VICKI CALLAHAN JENSEN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

INOPERATIVE

Business

First Name

VICKI

Middle

CALLAHAN

Last Name

JENSEN

Business Name

VICKI CALLAHAN JENSEN

Original Issue Date

12/23/2013

Effective Date

03/26/2014

Expiration Date

05/31/2016

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/25/2014