MARGEAUX A GASTALA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

MARGEAUX

Middle

Last Name

GASTALA

Business Name

MARGEAUX A GASTALA

Original Issue Date

03/12/2019

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

JOLIET

State

Zip

60435

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026