HEATHER GAYE MARTELON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

GAYE

Last Name

MARTELON

Business Name

HEATHER GAYE MARTELON

Original Issue Date

11/26/2019

Effective Date

12/15/2020

Expiration Date

08/31/2022

City

BARRINGTON

State

Zip

60010

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022