GILLIAN K LONG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

ACTIVE

Business

First Name

GILLIAN

Middle

Last Name

LONG

Business Name

GILLIAN K LONG

Original Issue Date

07/08/2021

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026