AMBER ALISABETH JACKSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

ACTIVE

Business

First Name

AMBER

Middle

ALISABETH

Last Name

JACKSON

Business Name

AMBER ALISABETH JACKSON

Original Issue Date

09/10/2015

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026