GAYE A PAGE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

NOT RENEWED

Business

First Name

GAYE

Middle

Last Name

PAGE

Business Name

GAYE A PAGE

Original Issue Date

03/07/2005

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

MILLEDGEVILLE

State

Zip

61051

County

CARROLL

Ever Disciplined

LastModifiedDate

07/10/2012