JACLYN M PETROV Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

ACTIVE

Business

First Name

JACLYN

Middle

Last Name

PETROV

Business Name

JACLYN M PETROV

Original Issue Date

04/22/2019

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

MOKENA

State

Zip

60448

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026