GAIL R VIVIANO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

GAIL

Middle

Last Name

VIVIANO

Business Name

GAIL R VIVIANO

Original Issue Date

12/01/2016

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026