JAMIE J SCHUPBACH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

JAMIE

Middle

Last Name

SCHUPBACH

Business Name

JAMIE J SCHUPBACH

Original Issue Date

07/26/2016

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026