GORDON JOHN MESA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013481

License Status

INACTIVE

Business

First Name

GORDON

Middle

JOHN

Last Name

MESA

Business Name

GORDON JOHN MESA

Original Issue Date

10/27/2015

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2018