JENNIFER R GREENWOOD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

GREENWOOD

Business Name

JENNIFER R GREENWOOD

Original Issue Date

08/12/2016

Effective Date

08/05/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022