JACQUELINE WIRTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024208

License Status

ACTIVE

Business

First Name

JACQUELINE

Last Name

WIRTH

Business Name

JACQUELINE WIRTH

Original Issue Date

10/14/2021

Effective Date

03/10/2026

Expiration Date

05/31/2028

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

03/10/2026