LESLIE GAMEZ-GALLO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

INACTIVE

Business

First Name

LESLIE

Last Name

GAMEZ-GALLO

Business Name

LESLIE GAMEZ-GALLO

Original Issue Date

04/20/2017

Effective Date

08/23/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60641

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024