KESHA A DOUGLAS-JACKSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

KESHA

Middle

Last Name

DOUGLAS-JACKSON

Business Name

KESHA A DOUGLAS-JACKSON

Original Issue Date

01/24/2018

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

ELMHURST

State

Zip

60126

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026