JACQUELINE M DEFFENBAUGH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****81

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

DEFFENBAUGH

Business Name

JACQUELINE M DEFFENBAUGH

Original Issue Date

06/10/2020

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/02/2026