JACLYN C WEIDNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

JACLYN

Middle

Last Name

WEIDNER

Business Name

JACLYN C WEIDNER

Original Issue Date

06/07/2018

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026