CHRISTINA J JACKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

Last Name

JACKSON

Business Name

CHRISTINA J JACKSON

Original Issue Date

04/15/2011

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60124

County

KANE

Delegated Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

01/14/2021