JENNIFER M DOUGLASS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

INOPERATIVE

Business

First Name

JENNIFER

Middle

Last Name

DOUGLASS

Business Name

JENNIFER M DOUGLASS

Original Issue Date

01/25/2018

Effective Date

05/28/2020

Expiration Date

05/31/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2022