HOLLY A GATES Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

INACTIVE

Business

First Name

HOLLY

Middle

Last Name

GATES

Business Name

HOLLY A GATES

Original Issue Date

01/16/2019

Effective Date

07/14/2020

Expiration Date

05/31/2022

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/14/2020