JESSICA GENSLER WALLACE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

INOPERATIVE

Business

First Name

JESSICA

Middle

GENSLER

Last Name

WALLACE

Business Name

JESSICA GENSLER WALLACE

Original Issue Date

08/07/2019

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2024