KELLIE J GIBBONS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008646

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

Last Name

GIBBONS

Business Name

KELLIE J GIBBONS

Original Issue Date

02/04/2011

Effective Date

09/30/2020

Expiration Date

08/31/2022

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2022