STELLA LEWALLY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

STELLA

Last Name

LEWALLY

Business Name

STELLA LEWALLY

Original Issue Date

05/13/2019

Effective Date

06/03/2020

Expiration Date

08/31/2022

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022