TARAH N GIBBS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

INACTIVE

Business

First Name

TARAH

Middle

Last Name

GIBBS

Business Name

TARAH N GIBBS

Original Issue Date

08/19/2016

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/12/2018