JACQUELINE S MA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

Business Name

JACQUELINE S MA

Original Issue Date

08/29/2018

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

PERU

State

Zip

61354

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/02/2025