STANLEY RICHARD GORDON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009029

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

RICHARD

Last Name

GORDON

Business Name

STANLEY RICHARD GORDON

Original Issue Date

08/24/2011

Effective Date

05/05/2014

Expiration Date

05/31/2016

City

KIRKWOOD

State

Zip

61447

County

WARREN

Ever Disciplined

LastModifiedDate

07/11/2016