ADRIA D GIBBS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

NOT RENEWED

Business

First Name

ADRIA

Middle

Last Name

GIBBS

Business Name

ADRIA D GIBBS

Original Issue Date

10/29/2013

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021