ELIZABETH A WIRTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

ACTIVE

Business

First Name

ELIZABETH A

Last Name

WIRTH

Business Name

ELIZABETH A WIRTH

Original Issue Date

08/22/2017

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026