CRYSTAL CARGILL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

ACTIVE

Business

First Name

CRYSTAL

Last Name

CARGILL

Business Name

CRYSTAL CARGILL

Original Issue Date

08/24/2018

Effective Date

04/28/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026