DAWNELLE M GORDON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

NOT RENEWED

Business

First Name

DAWNELLE

Middle

Last Name

GORDON

Business Name

DAWNELLE M GORDON

Original Issue Date

02/17/2022

Effective Date

02/17/2022

Expiration Date

08/31/2022

City

DUBUQUE

State

Zip

52003

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022