AMANDA THERESA GILMOUR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

ACTIVE

Business

First Name

AMANDA

Middle

THERESA

Last Name

GILMOUR

Business Name

AMANDA THERESA GILMOUR

Original Issue Date

11/07/2016

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026