GIDGET DALE BLACK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025359

License Status

INACTIVE

Business

First Name

GIDGET

Middle

DALE

Last Name

BLACK

Business Name

GIDGET DALE BLACK

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

05/31/2024

City

DUNEDIN

State

Zip

34698

Ever Disciplined

LastModifiedDate

03/14/2023