THERESA L JENNINGS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

JENNINGS

Business Name

THERESA L JENNINGS

Original Issue Date

10/24/2014

Effective Date

06/14/2022

Expiration Date

06/30/2024

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025