LAURA JILL WIRFS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

JILL

Last Name

WIRFS

Business Name

LAURA JILL WIRFS

Original Issue Date

08/01/2001

Effective Date

03/19/2020

Expiration Date

08/31/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022