SUSAN MARIE GAITROS 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

SUSAN MARIE

Last Name

GAITROS

Business Name

SUSAN MARIE GAITROS

Original Issue Date

12/20/2016

Effective Date

05/15/2024

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