GWENDOLYN D MYLES Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

NOT RENEWED

Business

First Name

GWENDOLYN

Middle

Last Name

MYLES

Business Name

GWENDOLYN D MYLES

Original Issue Date

06/14/2006

Effective Date

05/20/2018

Expiration Date

09/30/2020

City

OTTAWA

State

Zip

61350

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021