JESSICA ANNE WALLIS-BHYRAVABOTLA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013144

License Status

ACTIVE

Business

First Name

JESSICA

Middle

ANNE

Last Name

WALLIS-BHYRAVABOTLA

Business Name

JESSICA ANNE WALLIS-BHYRAVABOTLA

Original Issue Date

08/19/2015

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

WAUNAKEE

State

Zip

53597

Ever Disciplined

LastModifiedDate

03/17/2026