MARTHA J GAINER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

NOT RENEWED

Business

First Name

MARTHA J

Last Name

GAINER

Business Name

MARTHA J GAINER

Original Issue Date

09/17/2012

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021