JODI L WALSH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

JODI

Middle

Last Name

WALSH

Business Name

JODI L WALSH

Original Issue Date

04/07/2020

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

BRIGHTON

State

Zip

62012

County

MACOUPIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026