JASON P TACKETT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012575

License Status

ACTIVE

Business

First Name

JASON

Middle

Last Name

TACKETT

Business Name

JASON P TACKETT

Original Issue Date

02/10/2015

Effective Date

11/21/2024

Expiration Date

05/31/2026

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

03/02/2026