HEATHER R GIBSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

GIBSON

Business Name

HEATHER R GIBSON

Original Issue Date

03/12/2024

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026