JACQUELINE M NICHOLS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

NICHOLS

Business Name

JACQUELINE M NICHOLS

Original Issue Date

12/09/2021

Effective Date

04/28/2024

Expiration Date

05/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026