JESSIE NICOLE FOX Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

INOPERATIVE

Business

First Name

JESSIE

Middle

NICOLE

Last Name

FOX

Business Name

JESSIE NICOLE FOX

Original Issue Date

10/15/2019

Effective Date

09/18/2020

Expiration Date

05/31/2022

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/02/2022