AYAKO T GARDUQUE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

NOT RENEWED

Business

First Name

AYAKO

Middle

Last Name

GARDUQUE

Business Name

AYAKO T GARDUQUE

Original Issue Date

03/24/2014

Effective Date

03/24/2014

Expiration Date

05/31/2016

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/11/2016