JENNIFER L SEDLACEK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

SEDLACEK

Business Name

JENNIFER L SEDLACEK

Original Issue Date

01/29/2019

Effective Date

01/29/2019

Expiration Date

09/30/2020

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021