GAYE A PAGE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

NOT RENEWED

Business

First Name

GAYE

Middle

Last Name

PAGE

Business Name

GAYE A PAGE

Original Issue Date

04/29/2005

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

STERLING

State

Zip

61081

County

WHITESIDE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021