GINA MARIE GOLEM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

ACTIVE

Business

First Name

GINA

Middle

MARIE

Last Name

GOLEM

Business Name

GINA MARIE GOLEM

Original Issue Date

11/19/2014

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

MOKENA

State

Zip

60448

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026