GINA V MEDALLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

INACTIVE

Business

First Name

GINA

Middle

Last Name

MEDALLE

Business Name

GINA V MEDALLE

Original Issue Date

08/03/2011

Effective Date

06/02/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2020