GENEVIEVE A WALDSCHMIDT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

GENEVIEVE

Middle

Last Name

WALDSCHMIDT

Business Name

GENEVIEVE A WALDSCHMIDT

Original Issue Date

05/14/2018

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Delegated Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

01/14/2021