STEPHANIE M GILL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

GILL

Business Name

STEPHANIE M GILL

Original Issue Date

03/04/2026

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026