AGATHA JEFFERSON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****29

License Status

INOPERATIVE

Business

First Name

AGATHA

Last Name

JEFFERSON

Business Name

AGATHA JEFFERSON

Original Issue Date

11/04/2021

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2026