KATHLEEN FRANCES WALLACH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

INACTIVE

Business

First Name

KATHLEEN

Middle

FRANCES

Last Name

WALLACH

Business Name

KATHLEEN FRANCES WALLACH

Original Issue Date

07/10/2013

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020