SUSAN SARITA WALSH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

INACTIVE

Business

First Name

SUSAN

Middle

SARITA

Last Name

WALSH

Business Name

SUSAN SARITA WALSH

Original Issue Date

10/30/2023

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

10/28/2025