BETHANY S WOLF Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

INACTIVE

Business

First Name

BETHANY

Middle

Last Name

WOLF

Business Name

BETHANY S WOLF

Original Issue Date

07/29/2015

Effective Date

08/04/2022

Expiration Date

05/31/2024

City

MOKENA

State

Zip

60448

County

WILL

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/03/2024