ASHLEY E WALLEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

INACTIVE

Business

First Name

ASHLEY

Middle

Last Name

WALLEN

Business Name

ASHLEY E WALLEN

Original Issue Date

07/26/2016

Effective Date

07/30/2020

Expiration Date

05/31/2022

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/30/2020