JENNIFER R ZACK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021197

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

ZACK

Business Name

JENNIFER R ZACK

Original Issue Date

04/13/2020

Effective Date

06/15/2024

Expiration Date

05/31/2026

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

01/23/2025