LA SHAWN R GORDON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

INACTIVE

Business

First Name

LA SHAWN

Middle

Last Name

GORDON

Business Name

LA SHAWN R GORDON

Original Issue Date

05/25/2016

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020