CARISSA R GORHAM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012157

License Status

INACTIVE

Business

First Name

CARISSA

Middle

Last Name

GORHAM

Business Name

CARISSA R GORHAM

Original Issue Date

10/31/2014

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

PEORIA

State

Ever Disciplined

LastModifiedDate

03/08/2020