SHINA KEAONIS GORDON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

INACTIVE

Business

First Name

SHINA

Middle

KEAONIS

Last Name

GORDON

Business Name

SHINA KEAONIS GORDON

Original Issue Date

03/11/2016

Effective Date

07/01/2022

Expiration Date

05/31/2024

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/01/2022