SARAH CROWGEY GILLON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

CROWGEY

Last Name

GILLON

Business Name

SARAH CROWGEY GILLON

Original Issue Date

09/11/2018

Effective Date

09/11/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021