NICOLE M GILL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

GILL

Business Name

NICOLE M GILL

Original Issue Date

11/17/2018

Effective Date

08/19/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2025