GINA VON DER VELLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

ACTIVE

Business

First Name

GINA

Last Name

VON DER VELLEN

Business Name

GINA VON DER VELLEN

Original Issue Date

08/15/2024

Effective Date

08/15/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026