JENNIFER M DOUGLASS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

DOUGLASS

Business Name

JENNIFER M DOUGLASS

Original Issue Date

07/08/2021

Effective Date

05/07/2022

Expiration Date

06/30/2024

City

GLENVIEW

State

Zip

60026

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025