BOBBIE JO WALLS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

BOBBIE

Middle

Last Name

WALLS

Business Name

BOBBIE JO WALLS

Original Issue Date

09/20/2025

Effective Date

09/20/2025

Expiration Date

05/31/2026

City

RIDGE FARM

State

Zip

61870

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026