METYL A GINOLI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

METYL

Middle

Last Name

GINOLI

Business Name

METYL A GINOLI

Original Issue Date

03/30/2006

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

03/03/2026