JESSICA GENSLER WALLACE - Advanced Practice Nurse License in Illinois | # 209019552

JESSICA GENSLER WALLACE

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019552

License Status

NOT RENEWED

Business

N

First Name

JESSICA

Middle

GENSLER

Last Name

WALLACE

Business Name

JESSICA GENSLER WALLACE

Original Issue Date

06/24/2019

Effective Date

05/06/2022

Expiration Date

06/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025