DAVID M WALTERS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

WALTERS

Business Name

DAVID M WALTERS

Original Issue Date

03/28/2023

Effective Date

03/19/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60707

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/19/2026