JACKIE ROXANA CAMP Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

ACTIVE

Business

First Name

JACKIE

Middle

ROXANA

Last Name

CAMP

Business Name

JACKIE ROXANA CAMP

Original Issue Date

03/22/2022

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

CARMI

State

Zip

62821

County

WHITE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026