SARA E WALL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

WALL

Business Name

SARA E WALL

Original Issue Date

02/27/2019

Effective Date

02/27/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60613

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021