WANISSA FORD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

ACTIVE

Business

First Name

WANISSA

Last Name

FORD

Business Name

WANISSA FORD

Original Issue Date

03/05/2014

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026