SCOTT A GONIA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

GONIA

Business Name

SCOTT A GONIA

Original Issue Date

08/24/2011

Effective Date

06/12/2024

Expiration Date

05/31/2026

City

WASHINGTON

State

Zip

61571

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026