HEATHER FILL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

ACTIVE

Business

First Name

HEATHER

Last Name

FILL

Business Name

HEATHER FILL

Original Issue Date

11/24/2015

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

BOLINGBROOK

State

Zip

60490

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026