ANGELA J GILLES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

ANGELA

Middle

Last Name

GILLES

Business Name

ANGELA J GILLES

Original Issue Date

07/01/2005

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

MORTON

State

Zip

61550

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026