EBONY T JENKINS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

NOT RENEWED

Business

First Name

EBONY

Middle

Last Name

JENKINS

Business Name

EBONY T JENKINS

Original Issue Date

09/27/2021

Effective Date

09/27/2021

Expiration Date

08/31/2022

City

DALLAS

State

Zip

75240

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022