JERRY T METCALF Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

JERRY T

Last Name

METCALF

Business Name

JERRY T METCALF

Original Issue Date

06/17/2011

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

DEKALB

State

Zip

60115

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026