JACQUELINE WIRTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

ACTIVE

Business

First Name

JACQUELINE

Last Name

WIRTH

Business Name

JACQUELINE WIRTH

Original Issue Date

08/01/2022

Effective Date

03/10/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60611

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2026