GINA T MATHEW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

GINA

Middle

Last Name

MATHEW

Business Name

GINA T MATHEW

Original Issue Date

08/28/2023

Effective Date

03/16/2024

Expiration Date

05/31/2026

City

ELMHURST

State

Zip

60126

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026