JAYCIE N LIEBENDORFER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

JAYCIE

Middle

Last Name

LIEBENDORFER

Business Name

JAYCIE N LIEBENDORFER

Original Issue Date

08/26/2011

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026