JOHANNA R GORDON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

ACTIVE

Business

First Name

JOHANNA

Middle

Last Name

GORDON

Business Name

JOHANNA R GORDON

Original Issue Date

03/12/2021

Effective Date

03/17/2024

Expiration Date

05/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026