NICOLE S GELLATLY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

GELLATLY

Business Name

NICOLE S GELLATLY

Original Issue Date

06/07/2024

Effective Date

06/07/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61615

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026