GRACE A GLEASON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

Last Name

GLEASON

Business Name

GRACE A GLEASON

Original Issue Date

11/30/2011

Effective Date

03/27/2018

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60123

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021