MARYBETH WALDORF Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

MARYBETH

Last Name

WALDORF

Business Name

MARYBETH WALDORF

Original Issue Date

08/08/2008

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026