MOLLY T GIPSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

GIPSON

Business Name

MOLLY T GIPSON

Original Issue Date

01/21/2015

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

SCHAUMBURG

State

Zip

60193

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021