SUZANNE L WALLACE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

ACTIVE

Business

First Name

SUZANNE

Middle

Last Name

WALLACE

Business Name

SUZANNE L WALLACE

Original Issue Date

08/01/2001

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026