AMY LYNNE JESSUP Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

INACTIVE

Business

First Name

AMY

Middle

LYNNE

Last Name

JESSUP

Business Name

AMY LYNNE JESSUP

Original Issue Date

04/09/2008

Effective Date

06/04/2022

Expiration Date

05/31/2024

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/04/2022