OLIVIA ANN WALDER 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

OLIVIA

Middle

ANN

Last Name

WALDER

Business Name

OLIVIA ANN WALDER

Original Issue Date

06/05/2023

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

RANKIN

State

Zip

60960

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026