JENNIFER N NELSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

NELSON

Business Name

JENNIFER N NELSON

Original Issue Date

01/28/2019

Effective Date

05/04/2020

Expiration Date

08/31/2022

City

LAKE FOREST

State

Zip

60045

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022