JESSE DEWAYNE HERRON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

INACTIVE

Business

First Name

JESSE

Middle

DEWAYNE

Last Name

HERRON

Business Name

JESSE DEWAYNE HERRON

Original Issue Date

05/16/2018

Effective Date

05/16/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2020