JENNIFER NICOLE BORN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

NICOLE

Last Name

BORN

Business Name

JENNIFER NICOLE BORN

Original Issue Date

03/05/2019

Effective Date

09/08/2021

Expiration Date

05/31/2022

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/08/2021