JESSICA L GORGOGLIONE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

GORGOGLIONE

Business Name

JESSICA L GORGOGLIONE

Original Issue Date

02/14/2018

Effective Date

03/16/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021