JESSICA MO VAUGHAN 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

JESSICA

Middle

Last Name

VAUGHAN

Business Name

JESSICA MO VAUGHAN

Original Issue Date

11/19/2018

Effective Date

11/19/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021