DEBORA FON WILSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

ACTIVE

Business

First Name

DEBORA

Middle

FON

Last Name

WILSON

Business Name

DEBORA FON WILSON

Original Issue Date

09/27/2021

Effective Date

06/27/2024

Expiration Date

05/31/2026

City

BLOOMINGDALE

State

Zip

60108

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026