JENNIFER H ENOCH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

ENOCH

Business Name

JENNIFER H ENOCH

Original Issue Date

02/08/2017

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021