JENNIFER L WALSTON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

WALSTON

Business Name

JENNIFER L WALSTON

Original Issue Date

10/23/2014

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026