DAWNELLE M GORDON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

NOT RENEWED

Business

First Name

DAWNELLE

Middle

Last Name

GORDON

Business Name

DAWNELLE M GORDON

Original Issue Date

03/01/2006

Effective Date

03/01/2006

Expiration Date

05/31/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2008