CODY JACOB GIBBS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

ACTIVE

Business

First Name

CODY

Middle

JACOB

Last Name

GIBBS

Business Name

CODY JACOB GIBBS

Original Issue Date

02/05/2018

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

CANTON

State

Zip

61520

County

FULTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026