JACQUELINE RAE CLAYTON 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

JACQUELINE RAE

Last Name

CLAYTON

Business Name

JACQUELINE RAE CLAYTON

Original Issue Date

07/07/2006

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2018