AGATHA JEFFERSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

INACTIVE

Business

First Name

AGATHA

Last Name

JEFFERSON

Business Name

AGATHA JEFFERSON

Original Issue Date

11/09/2012

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

06/05/2020