KIRSTI ROSE WILLIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

ACTIVE

Business

First Name

KIRSTI

Middle

ROSE

Last Name

WILLIS

Business Name

KIRSTI ROSE WILLIS

Original Issue Date

08/27/2019

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026