JERIC AGNES 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

JERIC

Last Name

AGNES

Business Name

JERIC AGNES

Original Issue Date

12/30/2020

Effective Date

04/16/2024

Expiration Date

05/31/2026

City

SCHAUMBURG

State

Zip

60173

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026