ALYSSA R GOERGEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

Last Name

GOERGEN

Business Name

ALYSSA R GOERGEN

Original Issue Date

09/09/2021

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026