ALLYSON KIMBLEY GOUGH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004629

License Status

ACTIVE

Business

First Name

ALLYSON

Middle

KIMBLEY

Last Name

GOUGH

Business Name

ALLYSON KIMBLEY GOUGH

Original Issue Date

02/14/2003

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/02/2026