PATRICIA N JACKSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

INACTIVE

Business

First Name

PATRICIA

Middle

Last Name

JACKSON

Business Name

PATRICIA N JACKSON

Original Issue Date

08/20/2012

Effective Date

05/26/2020

Expiration Date

05/31/2022

City

OSWEGO

State

Zip

60543

County

DEKALB

Ever Disciplined

LastModifiedDate

05/26/2020