SHANIQUA LANEA JACKSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

INACTIVE

Business

First Name

SHANIQUA

Middle

LANEA

Last Name

JACKSON

Business Name

SHANIQUA LANEA JACKSON

Original Issue Date

11/19/2023

Effective Date

04/21/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60642

County

LAKE

Ever Disciplined

LastModifiedDate

12/19/2025