BRITTNEY E GALLIVAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

BRITTNEY

Middle

Last Name

GALLIVAN

Business Name

BRITTNEY E GALLIVAN

Original Issue Date

08/27/2019

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026