DENISE J GIBSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

DENISE J

Last Name

GIBSON

Business Name

DENISE J GIBSON

Original Issue Date

03/11/2002

Effective Date

03/11/2002

Expiration Date

05/31/2006

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/09/2006