PETER J GILLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019507

License Status

ACTIVE

Business

First Name

PETER

Middle

Last Name

GILLEN

Business Name

PETER J GILLEN

Original Issue Date

06/07/2019

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026